Provider Demographics
NPI:1952973000
Name:DAVID LAZALA MD P.C.
Entity Type:Organization
Organization Name:DAVID LAZALA MD P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY MEDICINE
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LAZALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:929-235-0382
Mailing Address - Street 1:25 HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-2813
Mailing Address - Country:US
Mailing Address - Phone:929-235-0382
Mailing Address - Fax:
Practice Address - Street 1:126 NAGLE AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-1437
Practice Address - Country:US
Practice Address - Phone:929-724-4300
Practice Address - Fax:929-724-4301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-16
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty