Physician Compare National (NPI:1518152818)

HEALTHCARE PROVIDER: SORIN LAZAR MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1518152818
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274687215
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170620002939
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LAZAR
	Individual professional last name
Provider First Name	SORIN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1999
	Individual professional's medical school graduation year
Primary Specialty	CARDIAC ELECTROPHYSIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	10010 DON S POWERS DR
	Group Practice or individual's line 1 address
City	MUNSTER
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	463214054
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2199344200
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140150
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY OF ILLINOIS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	150034
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST MARY MEDICAL CENTER INC
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M