Individual
DR. DONALD J. LAZAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5653 FRIST BLVD, SUITE 530, HERMITAGE, TN 37076
(615) 885-1093
(615) 885-1110
Mailing address
5653 FRIST BLVD, SUITE 530, HERMITAGE, TN 37076
(615) 885-1083
(615) 885-1110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29277
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3707485
—
TN
05
—
3813388
—
TN
01
—
621612525
TAX INDENTIFICATION #
TN
Enumeration date
07/07/2005
Last updated
02/09/2010
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