Provider Demographics
NPI:1134922552
Name:LAZARIDIS, ZACHARY (DO)
Entity type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:
Last Name:LAZARIDIS
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 W MCNEESE STREET
Mailing Address - Street 2:APT 5311
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605
Mailing Address - Country:US
Mailing Address - Phone:601-620-8180
Mailing Address - Fax:
Practice Address - Street 1:1525 OAK PARK BLVD-LSU FAMILY MEDICINE RESIDENCY PROGRA
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601
Practice Address - Country:US
Practice Address - Phone:337-494-2023
Practice Address - Fax:337-430-6966
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program