Individual
MR. JOHN M LAZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16869
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110180893
RAIL ROAD MEDICARE
SC
05
—
168696
—
SC
01
—
53138
MEDCOST
SC
01
—
S309354
HEALTH SOURCE
SC
Enumeration date
05/01/2006
Last updated
11/09/2020
Update your record
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