Nikolaidis, Lazaros A

Nikolaidis, Lazaros A is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Nikolaidis, Lazaros A can be contacted via phone (254) 724-2111.

Contact Information

Primary practice address
2401 S 31St St Temple TX 76508-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD056993L Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 45092 Texas

Profile Details

NPI number 1538157417
LBN Legal business name Nikolaidis, Lazaros A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jan 7th, 2021 - about 4 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 1538157417 NPPES
Pennsylvania MEDICAID 0017884500004

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