Individual
ISAAC LAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, YALE NEW HAVEN CHILDRESN'S HOSPITAL, NEW HAVEN, CT 06510-1369
(203) 785-4651
(203) 688-1617
Mailing address
PO BOX 9805, 300 GEORGE STREET 6TH FLOOR, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
042719
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001427196
—
CT
Enumeration date
11/14/2005
Last updated
02/18/2009
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