Individual
DR. THEODORE A LAZZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
ONE AESTHETIC WAY, GREENSBURG, PA 15601
(724) 832-7555
(724) 832-7566
Mailing address
ONE AESTHETIC WAY, GREENSBURG, PA 15601
(724) 832-7555
(724) 832-7566
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD020003E
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD020003E
PA
Other
Enumeration date
01/23/2006
Last updated
09/16/2011
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