Brankica Lazic-Mazlagic, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD13072 Issued in RI

Practice address

One Hoppin St.
Coro Center 3Rd FLR
Providence, RI 02903-4141

Phone

(401) 793-8790

Fax

(401) 793-8709

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1184774200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3238",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022413238",
            "telephone_number": "866-689-8862",
            "fax_number": "207-347-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HOPPIN ST.",
            "address_2": "CORO CENTER 3RD FLR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034141",
            "telephone_number": "401-793-8790",
            "fax_number": "401-793-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZIC-MAZLAGIC",
        "first_name": "BRANKICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "230847",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD13072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Andrew Laymon, MD
• Shaliea Laza
• Stacey Ann Lazar, NP
• Elizabeth Lazarus, MD
• Aurit Lazerus, PSY.D
• Amy Lazier, MA
• Shannon Le Corre, LCSW
• Timothy David Le Jacq-Smith, PSY.D.
• Daniel Le, PHARMD, RPH
• Hung Manh Le, MD

• Internal Medicine Physician in Providence, RI
• Providers in Providence, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.