Individual
DR. JOHN FRANCIS LAZZARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8684 15TH AVE, BROOKLYN, NY 11228-3409
(718) 232-0703
(718) 232-3256
Mailing address
8684 15TH AVE, BROOKLYN, NY 11228-3409
(718) 232-0704
(718) 232-3256
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200520
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01755595
—
NY
Enumeration date
01/10/2006
Last updated
06/25/2013
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