Individual
DR. BORIS LAZAREV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34503 9TH AVE S, STE 100, FEDERAL WAY, WA 98003-8727
(253) 261-0519
(253) 835-8000
Mailing address
34503 9TH AVE S, STE 100, FEDERAL WAY, WA 98003-8727
(253) 261-0519
(253) 835-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
246945
MA
207R00000X
Internal Medicine Physician
A109320
CA
207R00000X
Internal Medicine Physician
MD151159
OR
207R00000X
Internal Medicine Physician
Primary
MD60613516
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0332515
CIGNA HEALTH CARE
MA
05
—
110093192A
—
MA
01
—
1912165226
UNITED HEALTHCARE
MA
01
—
1912165226
ANTHEM NH
—
01
—
19121655226
AETNA
MA
05
—
32001664
—
NH
01
—
935553-02
NETWORK HEALTH
MA
01
—
AA265316
HARVARD PILGRIM HEALTH CARE
MA
01
—
PENDING
MEDICARE
CA
Enumeration date
05/23/2008
Last updated
08/24/2016
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