Individual
GERALD LAZARUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5933
Mailing address
PO BOX 64252, BALTIMORE, MD 21264-4252
(410) 550-0503
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D58423
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404240900
—
MD
Enumeration date
06/15/2006
Last updated
02/11/2013
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