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:
Health care specialties
Specialty | Code | License # | 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 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114987815 | NPPES |
Michigan | Other | 290F312340 | BCBSM |
Michigan | MEDICAID | 4638967 | BCBSM |
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