Organization
SOUTHEAST IOWA CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY V LAZAR M.D. (PRESIDENT)
(319) 754-4004
Entity
Organization
Contact information
Practice address
1223 S GEAR AVE, SUITE 201, WEST BURLINGTON, IA 52655-1682
(319) 754-4004
(319) 753-5498
Mailing address
1223 S GEAR AVE, SUITE 201, WEST BURLINGTON, IA 52655-1682
(319) 754-4004
(319) 753-5498
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0457549
—
IA
01
—
37984
BLUE CROSS BLUE SHIELD
IA
01
—
37985
BLUE CROSS BLUE SHIELD
IA
01
—
DC4706
RAILROAD MEDICARE
—
Enumeration date
05/02/2006
Last updated
02/13/2015
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