Individual
MR. ROBERT J LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1115 S UNION ST, TRAVERSE CITY, MI 49684-3258
(231) 995-3657
(231) 995-3658
Mailing address
1115 S UNION ST, TRAVERSE CITY, MI 49684-3258
(231) 995-3657
(231) 995-3658
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301050475
MI
207KA0200X
Allergy Physician
4301050475
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280257
BCBS OF MICHIGAN
MI
01
—
102519
PREFERED CHOICE
MI
01
—
110235925
RAILROAD MEDICARE
MI
05
—
2843379
—
MI
Enumeration date
03/30/2006
Last updated
04/20/2023
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