Individual
MS. ALICE LAZARESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1050 E STATE HIGHWAY 114, SOUTHLAKE, TX 76092-5253
(817) 329-8364
(817) 329-1285
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L5427
TX
208M00000X
Hospitalist Physician
Primary
L5427
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001NB
BCBS
—
05
—
165396605
—
TX
Enumeration date
08/24/2006
Last updated
10/31/2024
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