Lazzaro, Domenico

Lazzaro, Domenico is an sole proprietor health care provider with primary practice located at 701 Superior Ave , Munster IN 46321-4037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Lazzaro, Domenico can be contacted via phone (219) 934-2085.

Contact Information

Primary practice address
701 Superior Ave Munster IN 46321-4037
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 01026137A Ohio

Profile Details

NPI number 1487618963
LBN Legal business name Lazzaro, Domenico
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated Nov 30th, 2007 - about 17 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 1487618963 NPPES
Other P00207505 RAILROAD MEDICARE

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