Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | ME95386 | FL |
N | 207NS0135X | Procedural Dermatology | ME95386 | FL |
NPI | 1295788198 |
---|---|
Provider Name | Dr. Melissa Chesler Lazarus |
First Address | Bay Harbor Islands, FL 33154-2107 |
Second Address | Bay Harbor Islands, FL 33154-2107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 26/03/2010 |