Lazarus, Bruce

Lazarus, Bruce is an individual health care provider with primary practice located at 111 Brewster St Dept. Of Physical Medicine / Rehabilitation, Pawtucket RI 02860-4400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Lazarus, Bruce can be contacted via phone (401) 729-2326.

Contact Information

Primary practice address
111 Brewster St Dept. Of Physical Medicine / Rehabilitation Pawtucket RI 02860-4400
Phone: (401) 729-2326
Fax: (401) 729-2243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD07243 Rhode Island

Profile Details

NPI number 1952378507
LBN Legal business name Lazarus, Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated May 17th, 2010 - about 15 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 1952378507 NPPES
Rhode Island Other 007057387 MEDICARE PTAN
Rhode Island MEDICAID 9006444 MEDICARE PTAN

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