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:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	VT

Other Provider Identifiers:

Issuer	Number	State	Type
CIGNA	0176890-002	VT	01
MVP	03V005	VT	01
BLUE CROSS BLUE SHIELD VT	18970	VT	01
BCBS NORTHEAST NEW YORK	92Q141	NY	01
	02106825	NY	05
	0VN0712	VT	05

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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