Dr Shellee Rae Lazar, MD | |
350 Terracina Blvd, Redlands, CA 92373-4850 | |
(909) 335-5616 | |
(909) 307-7518 |
Full Name | Dr Shellee Rae Lazar |
---|---|
Gender | Female |
Speciality | Preventive Medicine - Undersea And Hyperbaric Medicine |
Location | 350 Terracina Blvd, Redlands, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093806382 | NPI | - | NPPES |
00A669210 | Medicaid | CA | |
1467402149 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | A66921 (California) | Primary |
207V00000X | Obstetrics & Gynecology | A66921 (California) | Secondary |
Entity Name | Apex Healthcare Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447455423 PECOS PAC ID: 2860396306 Enrollment ID: O20041223000318 |
Entity Name | Obhg California Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215258892 PECOS PAC ID: 8729276795 Enrollment ID: O20101217000826 |
Entity Name | Seven Star Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710580808 PECOS PAC ID: 4789091026 Enrollment ID: O20210401001919 |
Mailing Address | Practice Location Address |
---|---|
Dr Shellee Rae Lazar, MD Po Box 9595, Redlands, CA 92375-2795 Ph: (909) 335-5616 | Dr Shellee Rae Lazar, MD 350 Terracina Blvd, Redlands, CA 92373-4850 Ph: (909) 335-5616 |
Mr. Ronald Philip Hattis, MD MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1233 Friar Ln, Redlands, CA 92373 Phone: 909-793-2524 | |
Dr. Tanya Audrey Margaret Deporto, MD, PHD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 26001 Redlands Blvd, Redlands, CA 92373 Phone: 909-825-7084 | |
Dr. Barry S. Solof, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1889 W Redlands Blvd, Redlands, CA 92373 Phone: 909-501-5167 |