Lazar, Michael J

Lazar, Michael J is an individual health care provider with primary practice located at 1140 Sonoma Ave Ste 1A, Santa Rosa CA 95405-4817. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Lazar, Michael J can be contacted via phone (707) 546-5553.

Contact Information

Primary practice address
1140 Sonoma Ave Ste 1A Santa Rosa CA 95405-4817
Phone: (707) 546-5553
Fax: (707) 546-0725
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X C40958 California
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X C40958 California

Profile Details

NPI number 1376505180
LBN Legal business name Lazar, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Feb 7th, 2012 - 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 1376505180 NPPES
Other P00638732 RAILROAD MEDICARE
MEDICAID 1376505180 RAILROAD MEDICARE
Other 00C409580 RAILROAD MEDICARE

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