BAHAELDEEN A LAZ

SAINT CHARLES, MO
NPI1720031784
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  1999142855)
Enumeration Date2006-05-18
Last Update Date2007-07-08
Business Address
-- BAHAELDEEN A LAZ M.D.
300 1ST CAPITOL DR
SAINT CHARLES, MO 63301-2844
Phone number: 636-947-5057
Mailing Address
-- BAHAELDEEN A LAZ M.D.
1836 LACKLAND HILL PKWY ATT: CREDENTIALING
SAINT LOUIS, MO 63146-3572
Phone number: 314-989-0300
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