Individual
DAVID W LAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 MOUNT ZION PKWY, JONESBORO, GA 30236-2500
(404) 365-0966
Mailing address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
(404) 364-7285
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
078072
GA
208800000X
Urology Physician
208800000X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064721700
—
FL
Enumeration date
02/20/2006
Last updated
09/13/2018
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