Organization
MARK A LAZAR DPM PC
Active
Other names
Greenwood Foot Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A LAZAR DPM (OWNER)
(317) 881-0788
Entity
Organization
Contact information
Practice address
720 FRY RD, STE. A, GREENWOOD, IN 46142-2410
(317) 881-0788
(317) 889-0775
Mailing address
720 FRY RD, STE. A, GREENWOOD, IN 46142-2410
(317) 881-0788
(317) 889-0775
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000591
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200185200A
—
IN
Enumeration date
06/23/2007
Last updated
06/29/2015
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