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Individual

SEAN WAYNE LAZARUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M

Contact information

Practice address
764 CAMPBELL AVE, SUITE G, WEST HAVEN, CT 06516-3786
(475) 238-7400
(475) 238-7982
Mailing address
764 CAMPBELL AVE, SUITE G, WEST HAVEN, CT 06516-3786
(475) 238-7400
(475) 238-7982

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000642
CT
213ES0131X
Foot Surgery Podiatrist
000642
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1619991981
NPI
CT
Enumeration date
07/27/2006
Last updated
09/27/2025
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