Provider Demographics
NPI:1578524674
Name:LAZAROU, STEPHEN A (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:A
Last Name:LAZAROU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:65 WALNUT ST
Mailing Address - Street 2:SUITE 460
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-2118
Mailing Address - Country:US
Mailing Address - Phone:781-237-9000
Mailing Address - Fax:781-237-9001
Practice Address - Street 1:65 WALNUT ST
Practice Address - Street 2:SUITE 460
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-2118
Practice Address - Country:US
Practice Address - Phone:781-237-9000
Practice Address - Fax:781-237-9001
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2015-03-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA220000208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology