Individual
ANTHONY LAZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 KILEY WAY, PLYMOUTH, WI 53073-5020
(920) 449-7000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70547-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100085926
—
WI
Enumeration date
03/27/2017
Last updated
10/23/2025
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