NPI 1487618963

Domenico Lazzaro, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Munster, IN

Practice location

Address: 701 Superior Ave, Munster, IN 46321-4037
Phone: (219) 934-2085
Mailing address: PO Box 957, Schererville, IN 46375-0957

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 01026137A (OH)

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Registry record

NPI: 1487618963
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Apr 2006
Record last updated: 30 Nov 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.