Individual
DR. LISA LAZZARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
739 WOODROW ROAD, STATEN ISLAND, NY 10312
(718) 356-5437
(718) 356-5433
Mailing address
739 WOODROW ROAD, STATEN ISLAND, NY 10312
(718) 356-5437
(718) 356-5433
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046975
NY
122300000X
Dentist
NY-046975
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02673527
—
NY
Enumeration date
11/08/2006
Last updated
06/20/2022
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