Joseph V Lazzara, MD | |
8633 N State Road 550, Bruceville, IN 47516-6096 | |
(812) 324-2963 | |
Not Available |
Full Name | Joseph V Lazzara |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 8633 N State Road 550, Bruceville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609844166 | NPI | - | NPPES |
100154470A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01027352A (Indiana) | Secondary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 01027352A (Indiana) | Primary |
Entity Name | Grand Itasca Clinic And Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
Entity Name | Altru Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760494330 PECOS PAC ID: 1355251604 Enrollment ID: O20031110000135 |
Entity Name | Lifecare Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609861095 PECOS PAC ID: 4789586884 Enrollment ID: O20040121000061 |
Entity Name | County Of Meeker |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083221816 PECOS PAC ID: 0840109740 Enrollment ID: O20040216000811 |
Entity Name | Lake Region Healthcare Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093713372 PECOS PAC ID: 3971565334 Enrollment ID: O20060109000246 |
Entity Name | Sanford Health Network North |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429 |
Mailing Address | Practice Location Address |
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Joseph V Lazzara, MD 8633 N State Road 550, Bruceville, IN 47516-6096 Ph: (812) 324-2963 | Joseph V Lazzara, MD 8633 N State Road 550, Bruceville, IN 47516-6096 Ph: (812) 324-2963 |