Individual
DR. PETER WALTER LAZARCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
42450 W 12 MILE RD, SUITE 200, NOVI, MI 48377-3013
(248) 348-8808
Mailing address
333 W LINCOLN ST, BIRMINGHAM, MI 48009-1900
(224) 820-3228
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901013169
MI
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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