Individual provider · Type 1 NPI

Myra Celeste Lazzaro, PA-C

Surgical Physician Assistant · Fairfield, NJ

NPI number 1447373907 Active

Practice location

695 US Highway 46, Suite 400A
Fairfield, NJ 07004-1592

Call (973) 894-1263 Map

Fax (888) 972-3703

Mailing address

PO Box 4059
Wayne, NJ 07474-4059

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XMA052978 (PA)
Surgical Physician Assistant Primary 363AS0400X25MP00302000 (NJ)

Surgical Physician Assistant: Definition to come...

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About NPI 1447373907

Myra Celeste Lazzaro, PA-C's National Provider Identifier is 1447373907, issued on Apr 9, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fairfield, NJ. The record was last updated on Jan 19, 2017.