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Organization

STEPHEN EARL LAZARUS, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN E LAZARUS M.D. (PRESIDENT)
(949) 361-4726
Entity
Organization

Contact information

Practice address
1041 E. YORBA LINDA BL. #203, C/O PLACENTIA-LINDA WOUND CARE, PLACENTIA, CA 92870-3728
(714) 524-4833
Mailing address
PO BOX 9126, CANOGA PARK, CA 91309-0126
(818) 709-8161
(818) 709-8160

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G23575
CA
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
G23575
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G235750
CA
Enumeration date
01/13/2012
Last updated
01/13/2012
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