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General NPI Number Information
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NPI Number | 1730204678
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Entity Type | Individual
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Provider Name | LAWRENCE LAZAR MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 11/18/2013
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Provider Practice Location Address
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Address Line | 11700 W 2ND PL SUITE 350
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City | LAKEWOOD
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State | CO
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Zip | 80228-1710
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Country | US
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Telephone | 303-595-2727
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Fax | 303-595-2626
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Provider Business Mailing Address
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Address Line | 11700 W 2ND PL SUITE 350
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City | LAKEWOOD
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State | CO
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Zip | 80228-1710
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Country | US
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Telephone | 303-595-2727
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Fax | 303-595-2626
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0000X
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Taxonomy Name | Adolescent Medicine (Internal Medicine) Physician
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License Number | A98132
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A98132
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A98132
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 52561
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License Number State | CO
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