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General NPI Number Information
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NPI Number | 1578569596
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Entity Type | Individual
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Provider Name | LAWRENCE G LAZAR DPM
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Gender | Male
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 12085 W HILLSBOROUGH AVE
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City | TAMPA
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State | FL
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Zip | 33635-9725
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Country | US
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Telephone | 813-397-5300
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Fax | 813-738-9007
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Provider Business Mailing Address
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Address Line | 1145 19TH ST NW STE 409
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City | WASHINGTON
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State | DC
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Zip | 20036-3701
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Country | US
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Telephone | 202-223-0500
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Fax |
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | PO3786
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License Number State | FL
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