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1487618963
DOMENICO LAZZARO
MUNSTER, IN
NPI
1487618963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: OH 01026137A)
Enumeration Date
2006-04-13
Last Update Date
2007-11-30
Business Address
-- DOMENICO LAZZARO MD
701 SUPERIOR AVE
MUNSTER, IN 46321-4037
Phone number: 219-934-2085
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Mailing Address
-- DOMENICO LAZZARO MD
PO BOX 957
SCHERERVILLE, IN 46375-0957
Phone number: 800-756-5986
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