Individual
STEVEN H LAZAROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
901 MACARTHUR BLVD, ATTN ANESTHESIA, MUNSTER, IN 46321-2901
(219) 836-7040
(219) 513-1127
Mailing address
901 MACARTHUR BLVD, ATTN ANESTHESIA, MUNSTER, IN 46321-2901
(219) 836-7040
(219) 513-1127
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28145373A
IN
367500000X
Certified Registered Nurse Anesthetist
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000518330
ANTHEM BCBS
IN
05
—
036088620
—
IL
05
—
036088620
—
IN
05
—
200858420
—
IN
Enumeration date
05/02/2007
Last updated
07/21/2022
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