Individual
TERESA LAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
NSUH DEPT OB GYN, 865 NORTHERN BOULEVARD, GREAT NECK, NY 11021
(516) 622-5100
Mailing address
NSUH DEPT OB GYN, NSUH DEPT OB GYN, GREAT NECK, NY 11021
(516) 622-5100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
208403
NY
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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