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Individual

MOHAMAD OMAR LAZKANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1111 E MCDOWELL RD, INTERNAL MEDICINE LL2, PHOENIX, AZ 85006-2612
(602) 839-2296
(602) 839-2084
Mailing address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R72123
AZ
207RC0000X
Cardiovascular Disease Physician
4146
WI
207RC0000X
Cardiovascular Disease Physician
76409
MN
207RC0000X
Cardiovascular Disease Physician
DR.0060650
CO
207RC0000X
Cardiovascular Disease Physician
R72123
AZ
207RI0011X
Interventional Cardiology Physician
Primary
DR.0060650
CO
207UN0901X
Nuclear Cardiology Physician
DR.0060650
CO

Other

Enumeration date
06/09/2010
Last updated
05/16/2025
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