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DR. MARK LAZAROVICH MD

Allergy and Immunology

South Burlington, Vermont

Provider NPI: 1083619431

Provider Information:
DR. MARK  LAZAROVICH MD


Practice Location:
53 TIMBER LN  SOUTH BURLINGTON, VT 05403 US
Tel: 802-864-0294  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
VT

Other Provider Identifiers:

IssuerNumberStateType
CIGNA0176890-002VT01
MVP03V005VT01
BLUE CROSS BLUE SHIELD VT18970VT01
BCBS NORTHEAST NEW YORK92Q141NY01
02106825NY05
0VN0712VT05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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