Individual
DR. LAZARO DAVID MIRKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ONE CHILDREN'S PLAZA, DAYTON, OH 45404-1815
(937) 641-3358
Mailing address
8890 WINTON HILLS CT, SPRINGBORO, OH 45066-9620
(937) 748-0809
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35055097
OH
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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