Paul Lazari Llc | |
161 N Marion St Oak Park IL 60301-1032 | |
(708) 613-5023 | |
Not Available |
Full Name | Paul Lazari Llc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 161 N Marion St, Oak Park, Illinois |
Authorized Official Name and Position | Paul Lazari (PRESIDENT) |
Authorized Official Contact | 4087812933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Paul Lazari Llc 161 N Marion St Oak Park IL 60301-1032 Ph: (708) 613-5023 | Paul Lazari Llc 161 N Marion St Oak Park IL 60301-1032 Ph: (708) 613-5023 |
NPI Number | 1295340990 |
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Provider Enumeration Date | 09/10/2020 |
Last Update Date | 09/10/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295340990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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