Lazar, Shellee Rae

Lazar, Shellee Rae is an sole proprietor health care provider with primary practice located at 350 Terracina Blvd , Redlands CA 92373-4850. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is her primary health care specialty. Lazar, Shellee Rae can be contacted via phone (909) 335-5616.

Contact Information

Primary practice address
350 Terracina Blvd Redlands CA 92373-4850
Phone: (909) 335-5616
Fax: (909) 307-7518
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X A66921 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A66921 California

Profile Details

NPI number 1093806382
LBN Legal business name Lazar, Shellee Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated May 30th, 2024 - about 6 months 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 1093806382 NPPES
California MEDICAID 00A669210
California MEDICAID 1467402149

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