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MR. ROBERT J LAZAR M.D.

Allergy

Traverse City, Michigan

Provider NPI: 1831150770

Provider Information:
MR. ROBERT J LAZAR M.D.


Practice Location:
3899 W. FRONT ST. UNIT 1  TRAVERSE CITY, MI 49684 US
Tel: 231-995-3657  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207KA0200XPhysicians
Allergy & Immunology
Allergy
MI4301050475
Y207K00000XPhysicians
Allergy & Immunology
MI4301050475

Other Provider Identifiers:

IssuerNumberStateType
BCBS OF MICHIGAN0280257MI01
2843379MI05
RAILROAD MEDICARE110235925MI01
PREFERED CHOICE102519MI01
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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