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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952378507 | NPPES |
| Rhode Island | Other | 007057387 | MEDICARE PTAN |
| Rhode Island | MEDICAID | 9006444 | MEDICARE PTAN |
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