Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | G14374 | CA |
NPI | 1043370018 |
---|---|
Provider Name | Arthur Jules Lazik |
First Address | Northridge, CA 91324-1701 |
Second Address | Northridge, CA 91324-1701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 08/07/2007 |