Maritza T Lazcano, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN18205 Issued in FL

Practice address

2708 E Atlantic Blvd
Pompano Beach, FL 33062-4942

Phone

(954) 941-6882

Fax

(954) 941-7112

NPI assigned

Mar 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1942470422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15355 SHERMAN WAY STE P",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064200",
            "telephone_number": "818-571-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 E ATLANTIC BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624942",
            "telephone_number": "954-941-6882",
            "fax_number": "954-941-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZCANO",
        "first_name": "MARITZA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS101016",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrencejfortunamdpa
• Carrie Laxson
• Jennifer Lynn Lay-Dettling
• Barbara J Lay
• Stacy A Layer, MA, BCBA
• Jessica Leano
• Hope Emily Leardini, MS
• Robyn Leask
• Georgiana Leath
• Leavitt Medical Associates of Florida Inc

• General Practice Dentistry in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.