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General NPI Number Information
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NPI Number | 1558786186
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Entity Type | Individual
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Provider Name | LOUIS JAMES LAZZARA JR. D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 216 N WASHINGTON ST
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City | BUTLER
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State | PA
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Zip | 16001-5241
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Country | US
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Telephone | 724-968-5310
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Fax | 724-431-4703
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Provider Business Mailing Address
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Address Line | 216 N WASHINGTON ST
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City | BUTLER
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State | PA
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Zip | 16001-5241
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Country | US
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Telephone | 724-968-5310
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Fax | 724-421-5842
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0102204205
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License Number State | VA
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