Individual
DR. DANIEL LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5160 EAGLE LAKE DR, WATERFORD TOWNSHIP, MI 48329-1721
(248) 967-3668
(248) 967-0630
Mailing address
5160 EAGLE LAKE DR, WATERFORD, MI 48329-1721
(248) 967-3668
(248) 967-0630
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
4856351260
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1502974
—
MI
01
—
P00067283
MEDICARE RAILROAD INSURAN
MI
Enumeration date
07/27/2006
Last updated
07/12/2023
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