Individual
DR. LAZAROS LAZARIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1453 WHALLEY AVE, NEW HAVEN, CT 06515-1153
(203) 389-4111
(203) 889-4953
Mailing address
1453 WHALLEY AVE, NEW HAVEN, CT 06515-1153
(203) 389-4111
(203) 889-4953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
043131
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001431311
—
CT
Enumeration date
11/07/2005
Last updated
05/27/2021
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