Provider Demographics
NPI:1033261128
Name:LAZARUS, BARRY ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:ALAN
Last Name:LAZARUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:293 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SILVERTHORNE
Mailing Address - State:CO
Mailing Address - Zip Code:80498-9500
Mailing Address - Country:US
Mailing Address - Phone:970-262-2700
Mailing Address - Fax:970-262-2800
Practice Address - Street 1:293 HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:SILVERTHORNE
Practice Address - State:CO
Practice Address - Zip Code:80498-9500
Practice Address - Country:US
Practice Address - Phone:970-262-2700
Practice Address - Fax:970-262-2800
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG16805208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology