Active NPIIndividual provider

Myra C Lazzaro, PA-C

Physician Assistant, Surgical in Fairfield, New Jersey

NPI Number1447373907
Practice location
695 US Highway 46, Suite 400A, Fairfield, NJ 07004-1592
Fax
888-972-3703
Last updated
January 19, 2017

Myra Celeste Lazzaro is a Physician Assistant, Surgical based in Fairfield, NJ. Myra Celeste Lazzaro practices in Fairfield, NJ and has the professional credentials of PA-C. The NPI Number for Myra Celeste Lazzaro is 1447373907 and holds a License No. MA052978 (PA). The current practice location address for Myra Celeste Lazzaro is 695 US Highway 46, Suite 400A, Fairfield, NJ 07004-1592 and can be reached out via phone at 973-894-1263 and via fax at 888-972-3703.

Provider Profile Details

NPI Number
1447373907
Provider Name
Myra Celeste Lazzaro
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
695 US Highway 46, Suite 400A, Fairfield, NJ 07004-1592
Phone Number
973-894-1263
Fax Number
888-972-3703
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Other Names
-- Myra Celeste Lazo, PA-C (Former Name)
Provider Enumeration Date
April 9, 2007
Last Update Date
January 19, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
695 US Highway 46
Suite 400A
Fairfield, NJ 07004-1592
Zip
07004-1592
Phone Number
973-894-1263
Fax Number
888-972-3703
Fairfield, NJ 07004Get directions →

Provider Business Mailing Address Details

Address
Po Box 4059
Wayne, NJ 07474-4059
City
Wayne
State
NJ
Zip
07474-4059
Phone Number
973-894-1263
Fax Number
888-972-3703

License Information

License Number (1)
MA052978
License State (1)
PA
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
25MP00302000
License State (2)
NJ
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Myra C Lazzaro, PA-C?

The NPI number of Myra C Lazzaro, PA-C is 1447373907. It was assigned on April 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Myra C Lazzaro, PA-C?

Myra C Lazzaro, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in PA under license number MA052978.

Where does Myra C Lazzaro, PA-C practice?

The practice location is 695 US Highway 46, Suite 400A, Fairfield, NJ 07004-1592. The office can be reached at 973-894-1263 (phone) or 888-972-3703 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447373907 directly on the NPPES registry website.

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