Lazzara, Alicia T

Lazzara, Alicia T is an individual health care provider with primary practice located at 3207 Francis Lewis Blvd , Flushing NY 11358-1922. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Lazzara, Alicia T can be contacted via phone (718) 224-2030.

Contact Information

Primary practice address
3207 Francis Lewis Blvd Flushing NY 11358-1922
Fax: (718) 281-2617
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005348 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00241600 New Jersey

Profile Details

NPI number 1700865854
LBN Legal business name Lazzara, Alicia T
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Jan 9th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700865854 NPPES
New York MEDICAID 01979079

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