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NPI Code Detail

MEDICARE: MR. CHRISTOPHER A LAZAROFF MPT

MEDICARE: MR. CHRISTOPHER A LAZAROFF MPT
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
1225100000XPhysical TherapistPT008275LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1256722OTHERHEALTH AMERICA
2348750OTHERPAHIGHMARK
311260952OTHERCAQH
47225221OTHERAETNA

General Provider Information

NPI Number : 1629069877
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER A LAZAROFF MPT
Provider Business Mailing Address
First Line : 1615B N MAIN STREET EXT
Second Line :
City : BUTLER
State : PA
Zip : 16001-1512
Country : US
Telephone Number : 724-285-5546
Fax Number : 724-285-3883
Provider Business Practice Location Address
First Line : 1615B N MAIN STREET EXT
Second Line :
City : BUTLER
State : PA
Zip : 16001-1512
Country : US
Telephone Number : 724-285-5546
Fax Number : 724-285-3883
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2005
Last Update Date : 07/08/2007

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