| Dr Mark Lazarovich, MD | |
|
53 Timber Ln, South Burlington, VT 05403-5201 | |
| (802) 864-0294 | |
| (802) 864-3779 |
| Full Name | Dr Mark Lazarovich |
|---|---|
| Gender | Male |
| Speciality | Allergy/immunology |
| Experience | 39 Years |
| Location | 53 Timber Ln, South Burlington, Vermont |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083619431 | NPI | - | NPPES |
| 18970 | Other | VT | BLUE CROSS BLUE SHIELD VT |
| 92Q141 | Other | NY | BCBS NORTHEAST NEW YORK |
| 0VN0712 | Medicaid | VT | |
| 0176890-002 | Other | VT | CIGNA |
| 02106825 | Medicaid | NY | |
| 03V005 | Other | VT | MVP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Univ. Of Vermont - Fletcher Allen Health Care | Burlington, VT | Hospital |
| Northwestern Medical Center Inc | Saint albans, VT | Hospital |
| Central Vermont Medical Center | Barre, VT | Hospital |
| Champlain Valley Physicians Hospital Medical Ctr | Plattsburgh, NY | Hospital |
| Entity Name | Timber Lane Allergy & Asthma Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457356818 PECOS PAC ID: 5698783520 Enrollment ID: O20060404000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Lazarovich, MD 53 Timber Ln, South Burlington, VT 05403-5201 Ph: (802) 864-0294 | Dr Mark Lazarovich, MD 53 Timber Ln, South Burlington, VT 05403-5201 Ph: (802) 864-0294 |
Dr. Elizabeth F. Jaffe, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 53 Timber Ln, South Burlington, VT 05403 Phone: 802-864-0294 Fax: 802-864-3779 | |
Dr. Edward F. Kent Jr., MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 53 Timber Ln, South Burlington, VT 05403 Phone: 802-864-0294 Fax: 802-864-3779 |