Lazor, Bonnie A.

Lazor, Bonnie A. is an sole proprietor health care provider with primary practice located at 1110 Oakwood Ave , Oakwood OH 45419. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Lazor, Bonnie A. can be contacted via phone (419) 206-1249.

Contact Information

Primary practice address
1110 Oakwood Ave Oakwood OH 45419
Phone: (419) 206-1249
Fax: (937) 567-0670
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 38890 Kentucky

Profile Details

NPI number 1548214059
LBN Legal business name Lazor, Bonnie A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Mar 13th, 2019 - about 5 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 1548214059 NPPES
Other 000000479105 ANTHEM BCBS
Other P00343016 ANTHEM BCBS
Other 50011328 ANTHEM BCBS
Other 743176351A ANTHEM BCBS
Other 2746336000 ANTHEM BCBS
MEDICAID 64089535 ANTHEM BCBS

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