| Lazzara Orthodontics | |
|
4184 3rd St S Jacksonville Beach FL 32250-5833 | |
| (904) 270-8750 | |
| (904) 270-8755 |
| Full Name | Lazzara Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4184 3rd St S, Jacksonville Beach, Florida |
| Authorized Official Name and Position | John Lazzara (PRESIDENT) |
| Authorized Official Contact | 9048062238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lazzara Orthodontics 4184 3rd St S Jacksonville Beach FL 32250-5833 Ph: (904) 270-8750 | Lazzara Orthodontics 4184 3rd St S Jacksonville Beach FL 32250-5833 Ph: (904) 270-8750 |
| NPI Number | 1245429604 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 10/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245429604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN 18064 (Florida) | Primary |
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