NPI Code Detail JSON Logo

1548214059 NPI number — BONNIE A. LAZOR M.D.

NPI Number: 1548214059
Health Care Provider/Practitioner: BONNIE A. LAZOR M.D.

Information about “1548214059” NPI (BONNIE A. LAZOR M.D.) exists in 1548214059 in HTML format HTML  |  1548214059 in plain Text format TXT  |  1548214059 in PDF (Portable Document Format) PDF  |  1548214059 in an XML format XML  formats.

NPI Number : 1548214059 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548214059",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LAZOR",
    "FirstName": "BONNIE",
    "MiddleName": "A.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LAZOR-MCDANIEL",
    "OtherFirstName": "BONNIE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1110 OAKWOOD AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAKWOOD",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45419-2911",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "419-206-1249",
    "MailingAddressFaxNumber": "937-567-0670",
    "FirstLinePracticeLocationAddress": "1110 OAKWOOD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAKWOOD",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45419",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "419-206-1249",
    "PracticeLocationAddressFaxNumber": "937-567-0670",
    "EnumerationDate": "05/20/2006",
    "LastUpdateDate": "03/13/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RG0300X",
        "TaxonomyName": "Geriatric Medicine (Internal Medicine) Physician",
        "LicenseNumber": "38890",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.