Lazar, Michael

Lazar, Michael is an individual health care provider with primary practice located at 2799 West Grand Blvd Suite K17, Detroit MI 48202-2608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Lazar, Michael can be contacted via phone (313) 916-2421.

Contact Information

Primary practice address
2799 West Grand Blvd Suite K17 Detroit MI 48202-2608
Phone: (313) 916-2421
Fax: (313) 916-9102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4301072437 Michigan

Profile Details

NPI number 1114987815
LBN Legal business name Lazar, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Oct 10th, 2013 - about 13 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 1114987815 NPPES
Michigan Other 290F312340 BCBSM
Michigan MEDICAID 4638967 BCBSM

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