IndividualActive
Cormack Lazarus, MD
NPI 1194427351 · Family Medicine Physician · Bryan, OH
Provider details
- NPI number
- 1194427351
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 35.155916 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
442 W High St Ste 3
Bryan, OH 43506-1681
Phone: (419) 636-4517
Fax: (419) 633-4169
Approximate (ZIP-level) locationGet directions
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Registry dates
- Enumerated
- 2023-03-21
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.