| Lea Lazar, M.d., P.c. | |
|
6355 Ten Oaks Rd Suite 202 Clarksville MD 21029-1185 | |
| (410) 531-1440 | |
| (410) 531-1412 |
| Full Name | Lea Lazar, M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 6355 Ten Oaks Rd, Clarksville, Maryland |
| Authorized Official Name and Position | Lea Lazar (OWNER) |
| Authorized Official Contact | 4105311440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lea Lazar, M.d., P.c. 6355 Ten Oaks Rd Suite 202 Clarksville MD 21029-1185 Ph: (410) 531-1440 | Lea Lazar, M.d., P.c. 6355 Ten Oaks Rd Suite 202 Clarksville MD 21029-1185 Ph: (410) 531-1440 |
| NPI Number | 1306198213 |
|---|---|
| Provider Enumeration Date | 10/03/2012 |
| Last Update Date | 10/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306198213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D38833 (Maryland) | Primary |
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