Organization
MARC A. LAZZARA D.O., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC ADAM LAZZARA D.O. (CEO)
(714) 544-8167
Entity
Organization
Contact information
Practice address
4521 CHARLEVILLE CIR, IRVINE, CA 92604-2329
(714) 544-8167
(949) 679-1909
Mailing address
4521 CHARLEVILLE CIR, IRVINE, CA 92604-2329
(714) 544-8167
(949) 679-1909
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
20A7964
CA
Other
Enumeration date
09/21/2006
Last updated
12/05/2008
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