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NPI Code Detail

MEDICARE: DR. LOUIS JAMES LAZZARA JR. D.O.

MEDICARE:  DR. LOUIS JAMES LAZZARA JR. D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician0102204205VA

General Provider Information

NPI Number : 1558786186
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOUIS JAMES LAZZARA JR. D.O.
Provider Business Mailing Address
First Line : 216 N WASHINGTON ST
Second Line :
City : BUTLER
State : PA
Zip : 16001-5241
Country : US
Telephone Number : 724-968-5310
Fax Number : 724-421-5842
Provider Business Practice Location Address
First Line : 216 N WASHINGTON ST
Second Line :
City : BUTLER
State : PA
Zip : 16001-5241
Country : US
Telephone Number : 724-968-5310
Fax Number : 724-431-4703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2014
Last Update Date : 08/12/2025

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Directions to “ DR. LOUIS JAMES LAZZARA JR. D.O.” Practice Location

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