Lazard, Marielle Bazile

Lazard, Marielle Bazile is an individual health care provider with primary practice located at 938 Saxon Blvd Suite 101-C, Orange City FL 32763-8305. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Lazard, Marielle Bazile can be contacted via phone (386) 774-5485.

Contact Information

Primary practice address
938 Saxon Blvd Suite 101-C Orange City FL 32763-8305
Phone: (386) 774-5485
Fax: (386) 775-0761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X ME87805 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME87805 Florida

Profile Details

NPI number 1912040197
LBN Legal business name Lazard, Marielle Bazile
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Dec 5th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912040197 NPPES
Florida MEDICAID 278018600
Florida Other 88976

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