Individual
DR. JOHN G LAZUR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2 BALDWIN BLVD., SHAMOKIN DAM, PA 17876
(570) 743-3300
(570) 743-7555
Mailing address
P.O. BOX 280, 2 BALDWIN BLVD, SHAMOKIN DAM, PA 17876
(570) 743-3300
(570) 743-7555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS18163L
PA
Other
Enumeration date
08/26/2006
Last updated
09/14/2010
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