Whalio Doctors

NPI 1003102245

Jonathan a Lazarini, MD

Practitioner Family Medicine Physician Fort Worth, TX

Practice location

Address
1500 S Main St, Fort Worth, TX 76104-4917
Phone
(903) 353-2265
Mailing address
8644 Fernhill Dr, Fort Worth, TX 76123-4015

Registered specialties (3)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence P6209 (TX)
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207PE0005X Licence P6209 (TX)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence P6209 (TX)

Registry record

NPI
1003102245
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Jun 2011
Record last updated
30 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.