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General NPI Number Information
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NPI Number | 1194103200
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Entity Type | Organization
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Legal Business Name | SEAN WAYNE LAZARUS DPM LLC
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Dates
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Enumeration Date | 05/08/2015
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | 920 LITTLE MEADOW RD
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City | GUILFORD
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State | CT
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Zip | 06437-1649
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Country | US
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Telephone | 203-453-0704
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Fax | 203-453-0704
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Provider Business Mailing Address
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Address Line | 920 LITTE MEADOW RD
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City | GUILFORD
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State | CT
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Zip | 06437
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Country | US
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Telephone | 203-453-0704
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Fax | 203-453-0704
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Authorized Official
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Title or Position | DOCTOR
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Name | SEAN W LAZARUS
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Credential | DPM
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Telephone | 203-453-0704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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