Iluminada Ilaw Lazaro, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D18885 Issued in MD

Practice address

501 Cherry Hill Road
Baltimore, MD 21225

Phone

(443) 872-7800

Fax

(443) 872-7803

NPI assigned

Feb 1, 2007

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

Other names 1

• Iluminada Ilaw Hernandez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Management,Marketing,Medical,and Accounting Services LLC

  • Specialist
  • Baltimore, MD
  • NPI 1841492691
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982742292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 PINECREST ROAD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "21228",
            "telephone_number": "410-455-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CHERRY HILL ROAD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21225",
            "telephone_number": "443-872-7800",
            "fax_number": "443-872-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARO",
        "first_name": "ILUMINADA",
        "middle_name": "ILAW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D18885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILUMINADA",
            "last_name": "HERNANDEZ",
            "middle_name": "ILAW",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy Layton
• Dawne Lazarek, CRNP
• Mark Gregory Lazarev, M.D.
• Ana Lazarevic
• Benigno Palafox Lazaro Jr., M.D.
• Zoe K. Lazarou, O.D.
• Frances Barbara Lazarow, MD
• Gerald Lazarus, M.D.
• Lachelle Maureen Lazarus, AU.D.
• Morgana Lazarus

• Pediatrics Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pediatrics Physician in Maryland

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.