Individual
DR. DAISY FLORENCE LAZAROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-8843
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
23871
OK
207UN0901X
Nuclear Cardiology Physician
23871
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1597591
AETNA HMO
MD
05
—
200033150A
—
OK
01
—
21735658001
BCBS-ALTUS
OK
01
—
243421103
MEDICARE RAILROAD
MD
01
—
5683526
AETNA PPO
MD
01
—
5683526
AETNA
OK
Enumeration date
09/21/2005
Last updated
03/09/2012
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