David W Lazan MD PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

DAVID W LAZAN MD PA

Practice address

1600 36TH Street
Suite B
Vero Beach, FL 32960

Phone

(772) 569-4464

Fax

(772) 569-5656

NPI assigned

Jul 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David Walter Lazan, M.D.

Title

Owner

Phone

(772) 569-4464

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1013921899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 36TH STREET",
            "address_2": "SUITE B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-569-4464",
            "fax_number": "772-569-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 36TH STREET",
            "address_2": "SUITE B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-569-4464",
            "fax_number": "772-569-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W LAZAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "LAZAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-569-4464",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9647005",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD8912",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel M Fleming O D
• Samantha Mellissa Daniel, M.D
• Leslie Ann Darby II
• Michelle D Darnell, LMT
• David R Worth PA
• Debra Bruininks Davidson, PH.D.
• John Thomas Davidson, MD
• Hugo Hernando Davila Garcia, M.D.
• Africa Davis
• Donna M Davis, LMT

• Urology Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.