Healthcare Provider Details

I. General information

NPI: 1568738854
Provider Name (Legal Business Name): AARON MICHAEL LAZORWITZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2012
Last Update Date: 07/20/2023
Certification Date: 07/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 CEDAR ST
NEW HAVEN CT
06510-3206
US

IV. Provider business mailing address

2220 ROSLYN ST
DENVER CO
80207-3630
US

V. Phone/Fax

Practice location:
  • Phone: 203-785-5188
  • Fax:
Mailing address:
  • Phone: 832-724-0922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberDR.0056199
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207VC0300X
TaxonomyComplex Family Planning Physician
License Number75490
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: