Doctor Name: | ANDREW LAZERE |
NPI Number: | 1043265556 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G20742 |
Business Practice Address: | 31872 South Coast Highway Radiology Department Laguna Beach, CA - 92651 |
Business Phone Number: | 9494997195 |
Business Fax Number: | |
Mailing Address: | Dept La 21650, PASADENA |
State: | CA |
Postal Code: | 911851650 |
Phone Number: | 9492638620 |
Fax Number: | 9492631639 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 11/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | G20742 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |