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Individual

ELIZABETH W LAZZARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
483 CRANBURY RD, EAST BRUNSWICK, NJ 08816-3610
(732) 390-0030
(732) 390-1856
Mailing address
579A CRANBURY RD, EAST BRUNSWICK, NJ 08816-5426
(732) 390-0040
(732) 390-1856

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
25MA09073600
NJ
2085R0202X
Diagnostic Radiology Physician
199159
NY
2085R0202X
Diagnostic Radiology Physician
Primary
25MA09073600
NJ
2085R0202X
Diagnostic Radiology Physician
MD61290551
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01960214
NY
05
6601707
NJ
Enumeration date
08/03/2006
Last updated
08/30/2024
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