NPI 1114086121
John Wayne Lazar, PHD
Practice location
- Address
- 300 Community Dr, Manhasset, NY 11030-3816
- Phone
- (516) 562-3054
- Fax
- (516) 562-2830
- Mailing address
- 155 Kensington Rd S, Garden City, NY 11530-5614
Registered specialties
Clinical Neuropsychologist
Primary
Registry record
- NPI
- 1114086121
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Dec 2006
- Record last updated
- 8 Jul 2007
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.