Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD00045024 | WA |
NPI | 1023074689 |
---|---|
Provider Name | Daniel A Lazar |
First Address | Seattle, WA 98133-8414 |
Second Address | Seattle, WA 98133-8414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2006 |
Last Update Date | 16/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8428542 | (05) | WA |
I32922 | (02) |