Individual
DAN LAZARESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
524 W 24TH ST, ASHTABULA, OH 44004-3423
(440) 992-4422
Mailing address
2422 LAKE AVE, ASHTABULA, OH 44004-4985
(440) 992-4422
(440) 997-6507
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35071063
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018355
—
OH
Enumeration date
05/01/2006
Last updated
02/17/2010
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