Individual
DR. DANIELLE RAFFAELLA LAZZARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12455 BROADWELL RD STE 102-103, MILTON, GA 30004-6315
(770) 375-6197
(770) 215-7577
Mailing address
12455 BROADWELL RD STE 102-103, MILTON, GA 30004-6315
(770) 375-6197
(706) 253-3223
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
87864
GA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
87864
GA
Other
Enumeration date
04/21/2016
Last updated
04/07/2025
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