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NPI Code Detail

MEDICARE: VICTOR LAZARON M.D.

MEDICARE: VICTOR LAZARON M.D.
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
1208600000XSurgery Physician12660NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871585141
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTOR LAZARON M.D.
Provider Business Mailing Address
First Line : 3073 WHITE MOUNTAIN HWY
Second Line :
City : NORTH CONWAY
State : NH
Zip : 03860-7101
Country : US
Telephone Number : 603-356-4835
Fax Number :
Provider Business Practice Location Address
First Line : 3073 WHITE MOUNTAIN HWY
Second Line :
City : NORTH CONWAY
State : NH
Zip : 03860-7101
Country : US
Telephone Number : 603-356-4835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 12/01/2016

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Directions to “ VICTOR LAZARON M.D.” Practice Location

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