National Provider Identifier Database

NICHOLAS A LAZZARO, MD – NPI #1700076619
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

NICHOLAS A LAZZARO, MD
190 E BANNOCK
BOISE, ID83712
Phone: 208-381-2094
Fax: 208-381-1791
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for NICHOLAS A LAZZARO

NPI Number 1700076619
Credentials MD
Entity Individual
Enumeration date 07/26/2007
Last updated 07/08/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • ID License #: M-11001
  • MI License #: 4301082251
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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