Individual
DR. WILLIAM RANDOLPH LAZEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8134 OLD KEENE MILL RD, SUITE 203, SPRINGFIELD, VA 22152-1800
(703) 569-2080
(703) 569-3355
Mailing address
8134 OLD KEENE MILL RD, SUITE 203, SPRINGFIELD, VA 22152-1800
(703) 569-2080
(703) 569-3355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004335
VA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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