Individual
MICHAEL LAZAROWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 374-6064
(352) 379-4180
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 374-6064
(352) 379-4180
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME118575
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME118575
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012087500
—
FL
Enumeration date
06/04/2008
Last updated
08/06/2014
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