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NPI Code Detail

MEDICARE: DR. LAWRENCE G LAZAR DPM

MEDICARE: DR. LAWRENCE G LAZAR DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0131XFoot Surgery PodiatristPO3786FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PO3786OTHERFLMEDICAL LICENSE

General Provider Information

NPI Number : 1578569596
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAWRENCE G LAZAR DPM
Provider Business Mailing Address
First Line : 1145 19TH ST NW
Second Line : STE 409
City : WASHINGTON
State : DC
Zip : 20036-3701
Country : US
Telephone Number : 202-223-0500
Fax Number :
Provider Business Practice Location Address
First Line : 12085 W HILLSBOROUGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33635-9725
Country : US
Telephone Number : 813-397-5300
Fax Number : 813-738-9007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 12/11/2023

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