OrganizationActive
Lazzara Dermatology & Mohs Surgery of Milton, LLC
NPI 1619726890 · MOHS-Micrographic Surgery Physician · Milton, GA
Provider details
- NPI number
- 1619726890
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Danielle Lazzara, Chief Medical Officer(732) 977-8371
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
12455 Broadwell Rd Ste 102-103
Milton, GA 30004-6315
Phone: (770) 375-6197
Fax: (770) 215-7577
Approximate (ZIP-level) locationGet directions
Mailing address
12455 Broadwell Rd Ste 102-103
Milton, GA 30004-6315
Registry dates
- Enumerated
- 2024-05-18
- Last updated
- 2025-01-28
- Certified
- 2025-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.