Mark Lazarovich (NPI# 1083619431, PAC ID# 7719956242) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1083619431 |
| PAC ID by PECOS | 7719956242 |
| Professional Enrollment ID | I20060322000522 |
| Full Name | Mark Lazarovich |
| Organization Legal Name | TIMBER LANE ALLERGY AND ASTHMA ASSOCIATES, PC |
| Address |
53 Timber Ln S Burlington VT 05403-5201 |
| Phone Number | 8028640294 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Group Practice PAC ID | 5698783520 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 470003 | UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE |
| 470005 | RUTLAND REGIONAL MEDICAL CENTER |
| 330250 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR |
| 471305 | COPLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 53 Timber Ln, S Burlington, VT 05403-5201 | 8028640294 | TIMBER LANE ALLERGY AND ASTHMA ASSOCIATES, PC |
| Organization Legal Name | TIMBER LANE ALLERGY AND ASTHMA ASSOCIATES, PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth F Jaffe | Pediatric Medicine | Timber Lane Allergy and Asthma Associates, PC | 53 Timber Ln, S Burlington, VT 05403-5201 |
| Edward Francis Kent Jr. | Allergy/immunology | Timber Lane Allergy and Asthma Associates, PC | 53 Timber Ln, S Burlington, VT 05403-5201 |
| Cristina A Carter | Allergy/immunology | Timber Lane Allergy and Asthma Associates, PC | 53 Timber Ln, S Burlington, VT 05403-5201 |
| Street Address |
53 TIMBER LN |
| City | S BURLINGTON |
| State | VT |
| Zip | 05403-5201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth F Jaffe | Pediatric Medicine | Timber Lane Allergy and Asthma Associates, PC | 53 Timber Ln, S Burlington, VT 05403-5201 |
| Edward Francis Kent Jr. | Allergy/immunology | Timber Lane Allergy and Asthma Associates, PC | 53 Timber Ln, S Burlington, VT 05403-5201 |
| Cristina A Carter | Allergy/immunology | Timber Lane Allergy and Asthma Associates, PC | 53 Timber Ln, S Burlington, VT 05403-5201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Evans | Registered Dietitian Or Nutrition Professional | 366 Dorset St, Suite 10, South Burlington, VT 05403-4479 | |
| Valerie J Goldberg | Registered Dietitian Or Nutrition Professional | Whole Health Nutrition, LLC | 366 Dorset St, Suite 10, South Burlington, VT 05403-4479 |
| Alexandra L Jackson | Chiropractic | Back and Neck Center | 185 Tilley Dr, Suite 57, South Burlington, VT 05403-4484 |
| Erik W Hemmett | Chiropractic | Back and Neck Center | 185 Tilley Dr, Suite 57, South Burlington, VT 05403-4484 |
| Julie Wade | Obstetrics/gynecology | Maitri Health Care for Women PC | 185 Tilley Dr, Suite 57, South Burlington, VT 05403-4484 |
| Jane Lowell | Obstetrics/gynecology | Maitri Health Care for Women PC | 185 Tilley Dr, Suite 57, South Burlington, VT 05403-4484 |
| Amy Thibault | Obstetrics/gynecology | Maitri Health Care for Women PC | 185 Tilley Dr, Suite 57, South Burlington, VT 05403-4484 |
| Katherine Areson | Obstetrics/gynecology | Maitri Health Care for Women PC | 185 Tilley Dr, Suite 57, South Burlington, VT 05403-4484 |
| Vicki Hemmett | Chiropractic | Back and Neck Center | 185 Tilley Dr, Suite 57, South Burlington, VT 05403-4484 |
| Frank J Landry | Internal Medicine | 43 Timber Ln, South Burlington, VT 05403-5200 | |
| Find all physicians in zip 05403 | |||
| City | S BURLINGTON |
| Zip Code | 05403 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | S BURLINGTON + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Mark Lazarovich.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.