Lazaro, Andrea Marie

Lazaro, Andrea Marie is an individual health care provider with primary practice located at 2712 Middleburg Dr Suite 101 Midlands Pediatrics, Columbia SC 29204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lazaro, Andrea Marie can be contacted via phone (803) 254-4257.

Contact Information

Primary practice address
2712 Middleburg Dr Suite 101 Midlands Pediatrics Columbia SC 29204
Phone: (803) 254-4257
Fax: (803) 252-7334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 16820 South Carolina

Profile Details

NPI number 1336132075
LBN Legal business name Lazaro, Andrea Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Oct 18th, 2011 - 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 1336132075 NPPES
South Carolina MEDICAID 168204

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