Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | G16805 | CA |
NPI | 1033261128 |
---|---|
Provider Name | Dr. Barry Alan Lazarus |
First Address | Silverthorne, CO 80498-9500 |
Second Address | Silverthorne, CO 80498-9500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 08/07/2007 |