Individual
DR. RANDE HARRIS LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
791 ESTATE PLACE, MEMPHIS, TN 38120
(901) 821-4300
(901) 821-4373
Mailing address
791 ESTATE PLACE, MEMPHIS, TN 38120
(901) 821-4300
(901) 821-4373
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
16275
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063113
BCBS
TN
01
—
3014587
VESTICA
—
05
—
3014587
—
TN
01
—
530
TLC
—
01
—
62-0842872
TAX ID
—
Enumeration date
11/01/2006
Last updated
07/31/2018
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