Lazaro Javier MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

LJ048712 Issued in MI

Legal business name

LAZARO JAVIER MD PC

Practice address

255 Worth St
Sandusky, MI 48471-1236

Phone

(810) 648-3444

Fax

(810) 648-3102

NPI assigned

May 10, 2010

Last updated

Jan 24, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lazaro Esguerra Javier, MDNPI 1093895039

Title

Doctor

Phone

(810) 648-3444

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lazaro Esguerra Javier, M.D. P.C.

  • Family Medicine Physician
  • Sandusky, MI
  • NPI 1093895039
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1013235431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WORTH ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711236",
            "telephone_number": "810-648-3444",
            "fax_number": "810-648-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 WORTH ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711236",
            "telephone_number": "810-648-3444",
            "fax_number": "810-648-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZARO JAVIER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "JAVIER",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_middle_name": "ESGUERRA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "810-648-3444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "LJ048712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1657969",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0761510",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Ladd
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• Dana Lamont
• Deborah Jean Laughlin
• Christa Lawrence
• Austin Ledsworth
• Tina Leenknegt, L.L.M.S.W.
• Jennifer Marie Leigh
• James Lett
• Michael Kent Lewis

• Primary Care Clinic/Center in Sandusky, MI
• Providers in Sandusky, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.