Individual
DR. GENEROSA CALDERON LAZOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2014 S TOLLGATE RD, SUITE 200, BEL AIR, MD 21015-5903
(410) 569-9533
(410) 569-1254
Mailing address
2014 S TOLLGATE RD, SUITE 200, BEL AIR, MD 21015-5903
(410) 569-9533
(410) 569-1254
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D34413
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293901100
—
MD
05
—
408959600
—
MD
01
—
D34413
MD LICENSE NUMBER
MD
Enumeration date
12/06/2005
Last updated
12/30/2014
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