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NPI Code Detail

MEDICARE: DR. JOHN LAZARUS MD

MEDICARE:  DR. JOHN  LAZARUS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician35.134503OH

General Provider Information

NPI Number : 1336434729
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN LAZARUS MD
Provider Business Mailing Address
First Line : 1153 E MAIN ST
Second Line :
City : LANCASTER
State : OH
Zip : 43130-4056
Country : US
Telephone Number : 740-687-8636
Fax Number : 740-687-8939
Provider Business Practice Location Address
First Line : 2405 N COLUMBUS ST STE 100
Second Line :
City : LANCASTER
State : OH
Zip : 43130-8189
Country : US
Telephone Number : 740-689-4480
Fax Number : 740-277-7692
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2011
Last Update Date : 09/26/2018

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Directions to “ DR. JOHN LAZARUS MD” Practice Location

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