Lazarus, Sean Wayne
Lazarus, Sean Wayne is an sole proprietor health care provider with primary practice located at 764 Campbell Ave Suite G, West Haven CT 06516-3786. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Lazarus, Sean Wayne can be contacted via phone (475) 238-7400.Contact Information
Primary practice address
764 Campbell Ave Suite G
West Haven CT 06516-3786
Phone: (475) 238-7400
Fax: (475) 238-7982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 000642 | Connecticut |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 000642 | Connecticut |
Profile Details
| NPI number | 1619991981 |
|---|---|
| LBN Legal business name | Lazarus, Sean Wayne |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Aug 10th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619991981 | NPPES |
| Connecticut | Other | 1619991981 | NPI |
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