Healthcare Provider Details

I. General information

NPI: 1902910383
Provider Name (Legal Business Name): HOWARD C LAZAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: HOWARD C PEREZ-LAZAR MD

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 05/29/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2637 N 29TH ST
PHOENIX AZ
85008
US

IV. Provider business mailing address

2637 N 29TH ST
PHOENIX AZ
85008
US

V. Phone/Fax

Practice location:
  • Phone: 602-799-8717
  • Fax: 480-981-0527
Mailing address:
  • Phone: 602-799-8717
  • Fax: 480-981-0527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number28908
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: