MARK A LAZAR DPM PC NPI 1033315346

NPI Information

NPI: 1033315346
Provider Name: MARK A LAZAR DPM PC

Doing Business As: GREENWOOD FOOT CLINIC

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
720 FRY RD
STE. A
GREENWOOD, IN
ZIP 46142
Phone: (317) 881-0788
Get Directions

MARK A LAZAR DPM PC is a foot and ankle surgery podiatrist in Greenwood, IN. MARK A LAZAR DPM PC NPI is 1033315346. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Greenwood Foot Clinic.

The provider's business location address is:

720 FRY RD
STE. A
GREENWOOD, IN
ZIP 46142-410
Phone: (317) 881-0788
Fax: (317) 889-0775

The provider's authorized official is Mark A Lazar .
The authorized official title is Owner and has the following contact phone number (317) 881-0788.

The enumeration date for this NPI number is 6/23/2007 and was last updated on 6/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	07000591	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	591000	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	MEDICARE
2	T34705	MEDICARE UPIN	INDIANA
3	200185200A	MEDICAID	INDIANA
4	1002540001	MEDICARE NSC	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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