Provider Demographics
NPI:1295788198
Name:LAZARUS, MELISSA CHESLER (MD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:CHESLER
Last Name:LAZARUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1080 KANE CONCOURSE
Mailing Address - Street 2:
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-2107
Mailing Address - Country:US
Mailing Address - Phone:305-864-6200
Mailing Address - Fax:305-864-9906
Practice Address - Street 1:1080 KANE CONCOURSE
Practice Address - Street 2:
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154-2107
Practice Address - Country:US
Practice Address - Phone:305-864-6200
Practice Address - Fax:305-864-9906
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95386207N00000X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology