ANDREW LAZERE M.D. NPI 1043265556

NPI Information

NPI: 1043265556
Provider Name: ANDREW LAZERE, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
31872 SOUTH COAST HIGHWAY
RADIOLOGY DEPARTMENT
LAGUNA BEACH, CA
ZIP 92651
Phone: (949) 499-7195
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Andrew Lazere, M.D. is a diagnostic radiology radiology in Laguna Beach, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Andrew Lazere, M.D. NPI is 1043265556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

31872 SOUTH COAST HIGHWAY
RADIOLOGY DEPARTMENT
LAGUNA BEACH, CA
ZIP 92651
Phone: (949) 499-7195

The enumeration date for this NPI number is 5/23/2006 and was last updated on 11/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	G20742	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	WG20742A	MEDICARE PIN	CALIFORNIA
2	WG20742B	MEDICARE PIN	CALIFORNIA
3	00G207420	MEDICAID	CALIFORNIA
4	WG20742J	MEDICARE PIN	CALIFORNIA
5	00G207420	OTHER	CALIFORNIA	BLUE SHIELD
6	A41049	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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