Healthcare Provider Details
I. General information
NPI: 1780046151
Provider Name (Legal Business Name): SOFIANE FRANCO LAZAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/24/2016
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3471 5TH AVE KAUFMANN BLDG SUITE 910
PITTSBURGH PA
15213-3215
US
IV. Provider business mailing address
3400 SPRUCE ST
PHILADELPHIA PA
19104-4238
US
V. Phone/Fax
- Phone: 412-692-4540
- Fax:
- Phone: 858-896-9005
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | MD470624 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | 25MA12650600 |
| License Number State | NJ |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LC0200X |
| Taxonomy | Critical Care Medicine (Anesthesiology) Physician |
| License Number | 25MA12650600 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: