Provider Demographics
NPI:1386837060
Name:LAZARUS, SYDNEY (MD, MPH)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:LAZARUS
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:
Other - Last Name:LAZARUS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:PO BOX 41473
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85717-1473
Mailing Address - Country:US
Mailing Address - Phone:520-400-8177
Mailing Address - Fax:
Practice Address - Street 1:3190 N SWAN RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1227
Practice Address - Country:US
Practice Address - Phone:520-547-9700
Practice Address - Fax:520-547-9718
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ43067207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine