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Ivan Petrovych Lazar, DO

Family Medicine in Asheville, NC. Individual provider (NPI-1).

NPI number1104566751
StatusActive
Last updated in NPPESSep 4, 2025

Details

NPI
1104566751
Entity type
Individual (NPI-1)
Name
Ivan Petrovych Lazar
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Mar 31, 2022
Certification date
Sep 4, 2025
Last updated
Sep 4, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine2024-01603NCYes

Practice location

218 Elkwood Ave
Asheville, NC 28804-2211

Phone 828-257-4747 · Fax 828-257-4763

Mailing address

218 Elkwood Ave
Asheville, NC 28804-2211

Phone 828-257-4747 · Fax 828-257-4763

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