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Individual

DR. JOHN LAZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
47 S COUNTRY RD, BELLPORT, NY 11713-2501
(631) 286-9315
(631) 286-9315
Mailing address
47 S COUNTRY RD, BELLPORT, NY 11713-2501
(631) 286-9315
(631) 286-9315

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
036594
NY
213E00000X
Podiatrist
Primary
N0037571
NY

Other

Enumeration date
06/05/2006
Last updated
02/19/2008
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