Individual
ELDORA L LAZAROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5000 HIGBEE AVE NW, CANTON, OH 44718-2522
(330) 493-0313
Mailing address
4245 SKYCREST DR NW, CANTON, OH 44718-2149
(330) 493-0277
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN187782
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LANP07652
—
OH
Enumeration date
05/18/2007
Last updated
04/12/2013
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