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1194427351
CORMACK LAZARUS
SAINT CLAIR SHORES, MI
NPI
1194427351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-21
Last Update Date
2023-03-21
Business Address
Dr. CORMACK LAZARUS MD
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080-3200
Phone number: 587-777-2050
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Mailing Address
Dr. CORMACK LAZARUS MD
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080-3200
Phone number: 587-777-2050
Copy
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