Gerald Martin Lazar M.D.

NPI 1003883349 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1003883349
Gender Male
Enumeration Date 03/07/2006
Last Updated 07/17/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2005 E 2700 S
SUITE 180
SALT LAKE CITY UT, 84109-1700, US
Phone (801) 746-2297
Fax (801) 322-3890
Business Location
4187 NEPTUNE DR
SALT LAKE CITY UT, 84124-3343, US
Phone (801) 272-1777
Fax (801) 322-3890
Toxanomy
Taxonomy Code 2084P0800X
License State Utah
License Number 174906-1205
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According to our database, Dr. Gerald Martin Lazar M.D. NPI is 1003883349, taxonomy code is 2084P0800X and license number is 174906-1205, license state is located at Utah. Gerald Martin Lazar M.D. physically located at 2005 E 2700 S, Salt Lake City UT, 84109-1700. NPI Number Gerald Martin Lazar M.D. has the Individual type.

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1003883349 NPI number is provided on an as is basis without warranty of any kind. 1003883349 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald Martin Lazar M.D. are for informational purposes only.