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Contact Information

RANDE H LAZAR, MD
791 ESTATE PLACE
MEMPHIS, TN38120
 Phone: 901-821-4300
 Fax: 901-821-4373
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for RANDE H LAZAR · (Male)

NPI # 1841378403
Status Active
Credentials MD
Entity Individual
Enumeration date 11/01/2006
Last updated 07/31/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 16275
  • TN Medicaid 3014587
  • Other 62-0842872 CHAMPUS
  • Other 62-0842872 TAX ID
  • Other 530 TLC
  • Other 3014587 VESTICA
  • TN Other 0063113 BCBS
Hospital affiliation(s)
  • METHODIST HEALTHCARE MEMPHIS HOSPITALS - (Acute Care)
    1265 UNION AVE SUITE 700
    MEMPHIS, TN 38104
  • SAINT FRANCIS BARTLETT MEDICAL CENTER - (Acute Care)
    2986 KATE BOND RD
    BARTLETT, TN 38133
  • ST FRANCIS HOSPITAL - (Acute Care)
    5959 PARK AVE
    MEMPHIS, TN 38119
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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