Provider Demographics
NPI:1083636708
Name:LAZINGER, ZEFF (DC)
Entity Type:Individual
Prefix:DR
First Name:ZEFF
Middle Name:
Last Name:LAZINGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 WALNUT ST
Mailing Address - Street 2:SUITE 602 BOX 75
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-5457
Mailing Address - Country:US
Mailing Address - Phone:215-546-1220
Mailing Address - Fax:215-546-1010
Practice Address - Street 1:1608 WALNUT ST
Practice Address - Street 2:SUITE 602 BOX 75
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-5457
Practice Address - Country:US
Practice Address - Phone:215-546-1220
Practice Address - Fax:215-546-1010
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1898111N00000X
PADC002161L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ452395M5AMedicare ID - Type Unspecified
NJT45265Medicare UPIN