Individual
MELISSA ANN LAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 WALNUT ST, SUITE 500, PHILADELPHIA, PA 19107-5563
(215) 955-6750
Mailing address
1100 WALNUT ST, SUITE 500, PHILADELPHIA, PA 19107-5563
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD439577
PA
208600000X
Surgery Physician
MT189310
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0364924
—
NJ
05
—
102849660
—
PA
Enumeration date
06/02/2008
Last updated
11/18/2013
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