Individual
DR. DAVID LAZALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 901-8918
Mailing address
1276 FULTON AVE FL 4, BRONX, NY 10456
(718) 901-8918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
291144
NY
Other
Enumeration date
07/09/2010
Last updated
10/18/2017
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