Lazarine, Robert Dave
Lazarine, Robert Dave is an individual health care provider with primary practice located at 30941 Mill Ln , Spanish Fort AL 36527-5456. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Lazarine, Robert Dave can be contacted via phone (251) 625-2170.Contact Information
Primary practice address
30941 Mill Ln
Spanish Fort AL 36527-5456
Phone: (251) 625-2170
Fax: (251) 625-2172
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PTH7570 | Alabama |
Profile Details
| NPI number | 1013258508 |
|---|---|
| LBN Legal business name | Lazarine, Robert Dave |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2013 |
| Last updated | Dec 10th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013258508 | NPPES |
| Alabama | MEDICAID | 529917620 | |
| Alabama | Other | 1003819608 |
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