Male or Other

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)

Code

207K00000X

Primary Taxonomy

Yes

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

Provider Address

Other Allergy & Immunology Physicians in South Burlington, Vermont:

Female

Elizabeth Jaffe MD

South Burlington, VT

Specialty: Allergy & Immunology Physician (Primary)

Male or Other

Edward Kent MD

South Burlington, VT

Specialty: Allergy & Immunology Physician (Primary)