Provider Demographics
NPI:1427026954
Name:LAZZARO, KAREN (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:LAZZARO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 S MAIN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5385
Mailing Address - Country:US
Mailing Address - Phone:724-837-4000
Mailing Address - Fax:724-837-4119
Practice Address - Street 1:1275 S MAIN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5385
Practice Address - Country:US
Practice Address - Phone:724-837-4000
Practice Address - Fax:724-837-4119
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056164L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA783350OtherHIGHMARK
PA783350OtherHIGHMARK
PAG08349Medicare UPIN