David W Lazan MD PA

NPI #1013921899 in Vero Beach, Florida

Provider Information

NPI Number: 1013921899
Entity Type: Organization
Organization Name: David W Lazan MD PA
Primary Specialty: Urology
Enumeration Date: Jul 28, 2006
Last Updated: Dec 22, 2009

Practice Location

Address: 1600 36TH STREET
Address 2: SUITE B
City: Vero Beach
State: Florida
ZIP Code: 32960
Phone: (772) 569-4464

Authorized Official

Name: MR. DAVID WALTER LAZAN, M.D.
Title: OWNER
Phone: (772) 569-4464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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