NPI 1558762997

Bradley Lazar

Practitioner Sonography Radiologic Technologist Evanston, IL

Practice location

Address: 800 Austin St STE 466, Evanston, IL 60202-3455
Phone: (847) 343-0205

Registered specialties

Sonography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471S1302X

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Registry record

NPI: 1558762997
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Sep 2014
Record last updated: 4 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.