Individual
DR. MARC ANTONIO LAZZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5200
(414) 259-0469
Mailing address
10000 W INNOVATION DR, SUITE 300, MILWAUKEE, WI 53226-4837
(414) 456-5006
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
125049341
IL
2084N0400X
Neurology Physician
Primary
53482
WI
Other
Enumeration date
07/31/2008
Last updated
06/30/2010
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