Provider Demographics
NPI:1881801744
Name:LAZZARINI, LAURA PAPPENHAGEN (DO)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:PAPPENHAGEN
Last Name:LAZZARINI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:PAPPENHAGEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:760 DARTSHIRE WAY
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-3502
Mailing Address - Country:US
Mailing Address - Phone:408-732-3259
Mailing Address - Fax:408-720-1735
Practice Address - Street 1:760 DARTSHIRE WAY
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-3502
Practice Address - Country:US
Practice Address - Phone:408-732-3259
Practice Address - Fax:408-720-1735
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A57852083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine