# DR KENYA LAZOVIK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649834557
- **Authorized official:** KENYA A LAZOVIK (OWNER/ DOCTOR)
- **Authorized official phone:** (201) 943-7977

## Contact information

- **Practice address:** 663 PALISADE AVE STE 204, CLIFFSIDE PARK, NJ 07010-3012
- **Practice address phone:** (201) 943-7977
- **Practice address fax:** (201) 945-4650
- **Mailing address:** 663 PALISADE AVE STE 204, CLIFFSIDE PARK, NJ 07010-3012
- **Mailing address phone:** (201) 943-7977
- **Mailing address fax:** (201) 945-4650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | NULL | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2019
- **Last updated:** 11/14/2025