Individual
BRYAN LAZZARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
30120 HARPER AVE, SAINT CLAIR SHORES, MI 48082
(586) 778-7542
(586) 778-1848
Mailing address
118 CASS AVE, MOUNT CLEMENS, MI 48043-2204
(586) 464-1479
(586) 464-1480
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005152
MI
Other
Enumeration date
06/01/2018
Last updated
07/20/2018
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