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Individual

DR. MATTHEW PATRICK LAZIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 S PARK ST, ROOM A404, MADISON, WI 53715-1830
(608) 258-6504
(608) 229-8588
Mailing address
700 S PARK ST, ROOM A404, MADISON, WI 53715-1830
(608) 258-6504
(608) 229-8588

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.122864
IL
207P00000X
Emergency Medicine Physician
125050679
IL
207P00000X
Emergency Medicine Physician
53924-020
WI
207P00000X
Emergency Medicine Physician
Primary
MD-47539
IA

Other

Enumeration date
08/19/2007
Last updated
11/29/2021
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