Individual
JUSTIN MICHAEL LAZAROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
BELMONT BEHAVIORAL HOSPITAL, 4200 MONUMENT RD, PHILADELPHIA, PA 19131-1625
(215) 877-2000
(888) 421-6026
Mailing address
BELMONT BEHAVIORAL HOSPITAL, 4200 MONUMENT RD, PHILADELPHIA, PA 19131-1625
(215) 877-2000
(888) 421-6026
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS017360
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103099387-0001
—
PA
Enumeration date
06/07/2012
Last updated
07/06/2016
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