Provider Demographics
NPI:1013652353
Name:WOUNDCYTE LLC
Entity Type:Organization
Organization Name:WOUNDCYTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:MARC
Authorized Official - Last Name:LAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-650-3000
Mailing Address - Street 1:15495 TAMIAMI TRL N STE 119
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-6210
Mailing Address - Country:US
Mailing Address - Phone:844-276-9700
Mailing Address - Fax:
Practice Address - Street 1:15495 TAMIAMI TRL N STE 119
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-6210
Practice Address - Country:US
Practice Address - Phone:844-276-9700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-02
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center