Organization
JOHN LAZZARA, DDS, PA
Active
Other names
Lazzara Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LAZZARA DDS (PRESIDENT)
(904) 806-2238
Entity
Organization
Contact information
Practice address
4184 3RD ST S, JACKSONVILLE BEACH, FL 32250-5833
(904) 270-8750
(904) 270-8755
Mailing address
4184 3RD ST S, JACKSONVILLE BEACH, FL 32250-5833
(904) 270-8750
(904) 270-8755
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 18064
FL
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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