Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | OS008535L | PA |
Y | 111NI0900X | Internist | OS008535L | PA |
N | 207RG0300X | Geriatric Medicine | OS008535L | PA |
NPI | 1063483527 |
---|---|
Provider Name | Dr. Daniel C Lazowick |
First Address | Wynnewood, PA 19096-3434 |
Second Address | Wynnewood, PA 19096-3450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2006 |
Last Update Date | 19/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016533330007 | (05) | PA |
G57089 | (02) |