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Individual

ALAN LAZZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD-001151
AZ

Other

Enumeration date
07/11/2022
Last updated
02/09/2026
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