Individual
MICHAEL GREGORY LAZEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
301 GREENE ST, MARIETTA, OH 45750-3134
(740) 376-0769
Mailing address
601 MCGILL RD, VINCENT, OH 45784-5145
(740) 525-2908
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
333476
OH
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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