Individual
STEPHEN LAZAROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
714 CHASE PKWY STE 4, WATERBURY, CT 06708-3012
(203) 755-0489
(203) 755-7523
Mailing address
30 MOWRY ST, NORTH HAVEN, CT 06473-4337
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
959
CT
213ER0200X
Radiology Podiatrist
959
CT
213ES0131X
Foot Surgery Podiatrist
959
CT
222Z00000X
Orthotist
959
CT
225000000X
Orthotic Fitter
959
—
Other
Enumeration date
04/21/2014
Last updated
03/17/2018
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