Individual
JOHN WAYNE LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-3054
(516) 562-2830
Mailing address
155 KENSINGTON RD S, GARDEN CITY, NY 11530-5614
(516) 524-8214
(516) 292-0021
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6344
NY
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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