Individual
DR. ALLEN LAZERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
13049 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578-7402
(813) 671-3100
(813) 671-5361
Mailing address
13049 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578-7402
(813) 671-3100
(813) 671-5361
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4249
FL
213E00000X
Podiatrist
POD000496
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
POD000496
GA
Other
Enumeration date
08/02/2005
Last updated
10/24/2023
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