| Lazaro Javier Md Pc | |
|
255 Worth St Sandusky MI 48471-1236 | |
| (810) 648-3444 | |
| (810) 648-3102 |
| Full Name | Lazaro Javier Md Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 255 Worth St, Sandusky, Michigan |
| Authorized Official Name and Position | Lazaro Esguerra Javier (DOCTOR) |
| Authorized Official Contact | 8106483444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lazaro Javier Md Pc 255 Worth St Sandusky MI 48471-1236 Ph: (810) 648-3444 | Lazaro Javier Md Pc 255 Worth St Sandusky MI 48471-1236 Ph: (810) 648-3444 |
| NPI Number | 1013235431 |
|---|---|
| Provider Enumeration Date | 05/10/2010 |
| Last Update Date | 01/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013235431 | NPI | - | NPPES |
| 1657969 | Medicaid | MI | |
| 0761510 | Other | MI | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | LJ048712 (Michigan) | Primary |
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