Provider Demographics
NPI:1639199763
Name:LAZAR, JOEL STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:STEVEN
Last Name:LAZAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:101 TREMONT STREET, 6TH FLOOR
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108
Mailing Address - Country:US
Mailing Address - Phone:617-804-5981
Mailing Address - Fax:617-701-7740
Practice Address - Street 1:7 ALLEN ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-2065
Practice Address - Country:US
Practice Address - Phone:603-738-1164
Practice Address - Fax:603-653-8191
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH12069207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1009915Medicaid
NH30203890Medicaid
VT1009915Medicaid
NH30203890Medicaid