Lazar, Ira Louis

Lazar, Ira Louis is an individual health care provider with primary practice located at 1905 Clint Moore Rd Ste 212, Boca Raton FL 33496. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Lazar, Ira Louis can be contacted via phone (561) 989-9070.

Contact Information

Primary practice address
1905 Clint Moore Rd Ste 212 Boca Raton FL 33496
Fax: (561) 989-0255
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 41886 Florida

Profile Details

NPI number 1174554893
LBN Legal business name Lazar, Ira Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jun 15th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174554893 NPPES
Florida MEDICAID 068748100

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