DR. Bruce Lee Lazerow, B.A., B.S., O.D.

NPI #1306996269 in Potomac, Maryland

Provider Information

NPI Number: 1306996269
Entity Type: Individual
Name: DR. Bruce Lee Lazerow, B.A., B.S., O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: B.A., B.S., O.D.
Enumeration Date: Jan 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2612 OAKENSHIELD DR
City: Potomac
State: Maryland
ZIP Code: 20854-2928
Phone: (301) 340-7674

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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