Gary M Lazarus Od Phd Apc
Optometrist in Manhattan Beach, CA. Organization (NPI-2).
NPI number1083789366
StatusActive
Last updated in NPPESJul 9, 2013
Details
- NPI
- 1083789366
- Entity type
- Organization (NPI-2)
- Legal business name
- Gary M Lazarus Od Phd Apc
- Organization subpart
- No
- Enumeration date
- Nov 21, 2006
- Last updated
- Jul 9, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 5171T | CA | Yes |
Other names
- Gary M Lazarus Od Or Gary M Lazarus Od Phd Faad (Other Name)
Practice location
806 Manhattan Beach BlvdSuite 103
Manhattan Beach, CA 90266-4960
Phone 310-372-2197 · Fax 310-372-6581
Mailing address
806 Manhattan Beach BlvdSuite 103
Manhattan Beach, CA 90266-4960
Phone 310-372-2197 · Fax 310-372-6581
Authorized official
Gary Marc Lazarus
Optometrist Owner
3103722197
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