Healthcare Provider Details

I. General information

NPI: 1548486053
Provider Name (Legal Business Name): HARRY A LAZARTE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7325 MEESHOW DR STE G
SPRINGDALE AR
72762-5258
US

IV. Provider business mailing address

7325 MEESHOW DR STE G
SPRINGDALE AR
72762-5258
US

V. Phone/Fax

Practice location:
  • Phone: 208-789-2131
  • Fax: 208-489-9518
Mailing address:
  • Phone: 208-789-2131
  • Fax: 208-489-9518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number5296
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberE-5577
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: