Lazard, Marielle Bazile
Lazard, Marielle Bazile is an individual health care provider with primary practice located at 938 Saxon Blvd Suite 101-C, Orange City FL 32763-8305. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Lazard, Marielle Bazile can be contacted via phone (386) 774-5485.Contact Information
Primary practice address
938 Saxon Blvd Suite 101-C
Orange City FL 32763-8305
Phone: (386) 774-5485
Fax: (386) 775-0761
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | ME87805 | Florida |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME87805 | Florida |
Profile Details
NPI number | 1912040197 |
---|---|
LBN Legal business name | Lazard, Marielle Bazile |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 15th, 2007 |
Last updated | Dec 5th, 2017 - about 7 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 | 1912040197 | NPPES |
Florida | MEDICAID | 278018600 | |
Florida | Other | 88976 |
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