Individual
DONALD LAZURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
55 FRUIT STREET, BLK 1570, BOSTON, MA 02114
(617) 726-2806
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1644
MA
Other
Enumeration date
11/04/2006
Last updated
07/08/2007
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