Lazris, Andrew
Lazris, Andrew is an individual health care provider with primary practice located at 6334 Cedar Ln Ste 103 , Columbia MD 21044-3898. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lazris, Andrew can be contacted via phone (410) 531-2355.Contact Information
Primary practice address
6334 Cedar Ln Ste 103
Columbia MD 21044-3898
Phone: (410) 531-2355
Fax: (410) 531-7041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0047447 | Maryland |
Profile Details
| NPI number | 1427023944 |
|---|---|
| LBN Legal business name | Lazris, Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2006 |
| Last updated | Oct 13th, 2009 - about 17 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 | 1427023944 | NPPES |
| Maryland | MEDICAID | 008203100 | |
| Maryland | MEDICAID | 380651100 | |
| Maryland | Other | 53498303 | |
| Maryland | Other | 04-03155 | |
| Maryland | Other | DPC6AL |
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