Bonnie A Lazor-mcdaniel
Medical Specialty
Professional ID
- NPI: 1548214059
- PECOS ID: 3678535226
- Enrollment ID: I20041027000487
- Credential(MD, DO, DPM): MD
- Medical School: University Of Louisville School Of Medicine
- Medical School Graduation Year: 2000
Hospital Service
- Hospital CCN1: 180040
- Business Name (LBN)1: Jewish Hospital St Marys Healthcare
- Hospital CCN2: 180088
- Business Name (LBN)2: Norton Hospitalnorton Medical Pavilionskosair Ch
Medical Practices
- Organization Name: Vintage Care Inc.
- Group Practice ID assigned by PECOS: 7810900115
- Number of Group Practice member: 0
Location
- Address1: 2000 Newburg Rd
- Address2:
- City: Louisville
- State: Kentucky
- Zip Code: 40205
- Phone Number: (502)459-9681
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):