Basic Information
| Provider Information | |||||||||
| NPI: | 1295788198 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LAZARUS | ||||||||
| FirstName: | MELISSA | ||||||||
| MiddleName: | CHESLER | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1080 KANE CONCOURSE | ||||||||
| Address2: | |||||||||
| City: | BAY HARBOR ISLANDS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331542107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3058646200 | ||||||||
| FaxNumber: | 3058649906 | ||||||||
| Practice Location | |||||||||
| Address1: | 1080 KANE CONCOURSE | ||||||||
| Address2: | |||||||||
| City: | BAY HARBOR ISLANDS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331542107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3058646200 | ||||||||
| FaxNumber: | 3058649906 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2006 | ||||||||
| LastUpdateDate: | 03/26/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | ME95386 | FL | Y | Allopathic & Osteopathic Physicians | Dermatology | 207NS0135X | ME95386 | FL | N | Allopathic & Osteopathic Physicians | Dermatology | Procedural Dermatology |
No ID Information.