Individual
DR. CARLO R. LAZZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2355 HWY 36 W, STE. 100, ROSEVILLE, MN 55113
(651) 292-2000
Mailing address
2355 HWY 36 W, STE. 100, ROSEVILLE, MN 55113
(651) 292-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01062010
IN
2085R0202X
Diagnostic Radiology Physician
14462-320
WI
2085R0202X
Diagnostic Radiology Physician
23784
ND
2085R0202X
Diagnostic Radiology Physician
Primary
4301078104
MI
2085R0202X
Diagnostic Radiology Physician
81312
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200822810
—
IN
Enumeration date
06/05/2006
Last updated
06/30/2026
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