Svetislav Lazich, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

35303 Issued in MA

Practice address

532 Lebanon St
Melrose, MA 02176

Phone

(781) 665-3237

Fax

(781) 662-6452

NPI assigned

Jul 13, 2006

Last updated

Jun 1, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Diagnostic Services, Inc

  • Sonography Radiologic Technologist
  • Stoughton, MA
  • NPI 1659377802
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1184649717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 LEBANON ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "02176",
            "telephone_number": "781-665-3237",
            "fax_number": "781-662-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 LEBANON ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "02176",
            "telephone_number": "781-665-3237",
            "fax_number": "781-662-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZICH",
        "first_name": "SVETISLAV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MA",
            "license": "35303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0147281",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Lacroix, PA-C
• Josee Laplante, MD
• Lauren Larcano
• Rachel Erin Latta, PH.D.
• Alexander B Latty, M.D.
• Learn to Smile PLLC (Exquisite Dentistry)
• Steven Leavitt, LMT
• Jessica Lebowitz, PA-C
• Grace Ying-Shuan Lee, M.D.
• Lily C Lee, DMD

• Gynecology Physician in Melrose, MA
• Providers in Melrose, MA by specialty
• Gynecology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.