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General NPI Number Information
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NPI Number | 1295013431
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Entity Type | Organization
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Legal Business Name | LEONARD H LAZARUS MD INC
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 10/07/2011
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Provider Practice Location Address
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Address Line | 7450 OLIVETAS AVE
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City | LA JOLLA
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State | CA
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Zip | 92037-4902
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Country | US
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Telephone | 858-454-7157
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Fax | 858-450-5284
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Provider Business Mailing Address
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Address Line | 7450 OLIVETAS AVE
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City | LA JOLLA
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State | CA
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Zip | 92037-4902
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Country | US
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Telephone | 858-454-7157
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Fax | 858-450-5284
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. LEONARD HILLEL LAZARUS
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Credential | M.D,
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Telephone | 858-454-2317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A40022
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License Number State | CA
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