Individual
DR. ANDREW L. LAZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1921 WALDEMERE ST, SUITE 306, SARASOTA, FL 34239-2943
(941) 917-8722
(941) 917-8727
Mailing address
1921 WALDEMERE ST, SUITE 306, SARASOTA, FL 34239-2943
(941) 917-8722
(941) 917-8727
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME58678
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053379300
—
FL
01
—
12243
BCBS
FL
01
—
390008289
MEDICARE RR
FL
01
—
800031974
TAX ID
FL
Enumeration date
08/16/2005
Last updated
08/30/2013
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