Individual
BRADLEY LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 AUSTIN ST STE 466, EVANSTON, IL 60202-3455
(847) 343-0205
Mailing address
800 AUSTIN ST STE 466, EVANSTON, IL 60202-3455
(847) 343-0205
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
IL
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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