# MARK A LAZAR DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greenwood Foot Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033315346
- **Authorized official:** DR. MARK A LAZAR DPM (OWNER)
- **Authorized official phone:** (317) 881-0788

## Contact information

- **Practice address:** 720 FRY RD, STE. A, GREENWOOD, IN 46142-2410
- **Practice address phone:** (317) 881-0788
- **Practice address fax:** (317) 889-0775
- **Mailing address:** 720 FRY RD, STE. A, GREENWOOD, IN 46142-2410
- **Mailing address phone:** (317) 881-0788
- **Mailing address fax:** (317) 889-0775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 07000591 | IN | Yes |

## Other

- **Enumeration date:** 06/23/2007
- **Last updated:** 06/29/2015
