Lora Lazovski, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901018071 Issued in MI

Practice address

7213 Dyke Rd
Algonac, MI 48001

Phone

(586) 716-4890

Fax

(586) 716-4892

NPI assigned

Feb 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• St Johns Marsh Dental PC

  • Dentist
  • Algonac, MI
  • NPI 1558530477
  NPD (past) Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659411189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7213 DYKE RD",
            "city": "ALGONAC",
            "state": "MI",
            "postal_code": "48001",
            "telephone_number": "586-716-4890",
            "fax_number": "586-716-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7213 DYKE RD",
            "city": "ALGONAC",
            "state": "MI",
            "postal_code": "48001",
            "telephone_number": "586-716-4890",
            "fax_number": "586-716-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZOVSKI",
        "first_name": "LORA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Theresa Hudson
• Linda Ann James, PHARMACIST
• Thomas Kizy, M.D.
• Julia Anastazja Krakowska, M.D.
• Kroger Co of Michigan (Kroger Pharmacy)
• Karen Maginn, RN
• Trevor McCready, DPT
• Carol A Moore
• Mary Owen, CSW
• Pharmwell Drugs LLC

• Dentist in Algonac, MI
• Providers in Algonac, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.