Dr. Mark Lazarovich MD
Allergy & Immunology Physician in South Burlington, VT(View on Map)
Full Name
Dr. Mark Lazarovich MD
NPI Number
1083619431
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/14/2005
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
53 TIMBER LN
53 TIMBER LN
City
South Burlington
South Burlington
State
VT
VT
Postal Code
05403-5201
05403-5201
Country
US
US
Telephone Number
(802) 864-0294
(802) 864-0294
Identifiers
Identifier
18970
92Q141
0VN0712
0176890-002
02106825
03V005
Identifier State
VT
NY
VT
VT
NY
VT
Identifier Issuer
BLUE CROSS BLUE SHIELD VT
BCBS NORTHEAST NEW YORK
Unknown
CIGNA
Unknown
MVP
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/09/2007