Dr. Mark Lazarovich
Allergist & Immunologist
53 Timber Ln
South Burlington
, Vermont 05403-5201
Dr. Mark Lazarovich
Allergist & Immunologist
53 Timber Ln
South Burlington
, Vermont 05403-5201
(802) 864-3779
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Dr. Mark Lazarovich
- 53 Timber Ln
- South Burlington, VT
- Zip : 05403-5201
- Fax : (802) 864-3779
- Phone : (802) 864-0294
Second Address
- Dr. Mark Lazarovich
- 53 Timber Ln
- South Burlington, VT
- Zip : 05403-5201
- Fax : (802) 864-3779
- Phone : (802) 864-0294
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | VT |
National Provider Identifier
| NPI | 1083619431 |
|---|---|
| Provider Name | Dr. Mark Lazarovich |
| First Address | South Burlington, VT 05403-5201 |
| Second Address | South Burlington, VT 05403-5201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2005 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0176890-002 | CIGNA (01) | VT |
| 02106825 | (05) | NY |
| 03V005 | MVP (01) | VT |
| 0VN0712 | (05) | VT |
| 18970 | BLUE CROSS BLUE SHIELD VT (01) | VT |
| 92Q141 | BCBS NORTHEAST NEW YORK (01) | NY |
| F66632 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.