Individual
DR. KENNETH HILLARD LAZARUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
705 RILEY HOSPITAL DR, ROC 4340, INDIANAPOLIS, IN 46202-5109
(317) 944-5611
(317) 944-3107
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 274-1201
(317) 278-9905
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
01067183
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922152420
—
MI
05
—
200956670
—
IN
Enumeration date
01/22/2007
Last updated
04/11/2012
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