Brandon Leo Lazar, is a
Physical Medicine & Rehabilitation physician based in Mullica Hill, New Jersey. Brandon Leo Lazar is licensed to practice in New Jersey (license number 208100000X) and his current practice location is 700 Mullica Hill Rd, Mullica Hill, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(856) 508-8000.
NPI number for Brandon Leo Lazar is 1619664588 and his current mailing address is 700 Mullica Hill Rd, Mullica Hill, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619664588.
Physician's Profile
Full Name | Brandon Leo Lazar |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 700 Mullica Hill Rd, Mullica Hill, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619664588
- Provider Enumeration Date: 04/20/2023
- Last Update Date: 04/20/2023
Medical Identifiers
Medical identifiers for Brandon Leo Lazar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619664588 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 208100000X (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandon Leo Lazar is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Brandon Leo Lazar, 700 Mullica Hill Rd, Mullica Hill, NJ 08062-4413 Ph: (856) 508-8000 | Brandon Leo Lazar, 700 Mullica Hill Rd, Mullica Hill, NJ 08062-4413 Ph: (856) 508-8000 |
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