Lazaroae, Susan E H

Lazaroae, Susan E H is an individual health care provider with primary practice located at 4500 Pond Way Ste 220 , Woodbridge VA 22192-7825. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lazaroae, Susan E H can be contacted via phone (703) 491-4131.

Contact Information

Primary practice address
4500 Pond Way Ste 220 Woodbridge VA 22192-7825
Phone: (703) 491-4131
Fax: (703) 491-4419
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101057713 Virginia

Profile Details

NPI number 1922077759
LBN Legal business name Lazaroae, Susan E H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Mar 18th, 2022 - about 4 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 1922077759 NPPES
Virginia MEDICAID 6733816

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