Individual
DR. CARMEN LAZALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2676B GRAND CONCOURSE, BRONX, NY 10458-4962
(718) 220-6272
(718) 220-6270
Mailing address
97 FALMOUTH RD, SCARSDALE, NY 10583-4756
(718) 220-6272
(718) 220-6270
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
212539
NY
2080P0205X
Pediatric Endocrinology Physician
Primary
212539
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01922403
—
NY
Enumeration date
03/21/2006
Last updated
06/12/2020
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