Lazor, Generosa Calderon

Lazor, Generosa Calderon is an sole proprietor health care provider with primary practice located at 2014 S Tollgate Rd Suite 200, Bel Air MD 21015-5903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lazor, Generosa Calderon can be contacted via phone (410) 569-9533.

Contact Information

Primary practice address
2014 S Tollgate Rd Suite 200 Bel Air MD 21015-5903
Fax: (410) 569-1254
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D34413 Maryland

Profile Details

NPI number 1437133014
LBN Legal business name Lazor, Generosa Calderon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2005
Last updated Dec 30th, 2014 - about 11 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 1437133014 NPPES
Maryland MEDICAID 408959600
Maryland Other D34413
Maryland MEDICAID 293901100

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