Individual
DR. HEATHER MICHELLE LAZUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2050 S QUEEN ST, STE 100, YORK, PA 17403-4829
(717) 812-4240
(717) 848-5520
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-4240
(717) 848-5520
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D0070944
MD
208000000X
Pediatrics Physician
Primary
MD448494
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102837857
—
PA
01
—
2897344
HIGHMARK BLUE SHIELD
PA
01
—
783770
UPMC
PA
Enumeration date
05/25/2007
Last updated
07/20/2016
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