Lazzara Dermatology & Mohs Surgery of Milton, LLC
NPI 1619726890 · MOHS-Micrographic Surgery Physician · Milton, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lazzara Dermatology & Mohs Surgery of Milton, LLC is a MOHS-Micrographic Surgery Physician organization in Milton, GA (NPI 1619726890).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-05-18
- Last updated
- 2025-01-28
- Certified
- 2025-01-28
Frequently asked questions
- What is Lazzara Dermatology & Mohs Surgery of Milton, LLC's NPI number?
- Lazzara Dermatology & Mohs Surgery of Milton, LLC's National Provider Identifier (NPI) is 1619726890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lazzara Dermatology & Mohs Surgery of Milton, LLC?
- Lazzara Dermatology & Mohs Surgery of Milton, LLC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Lazzara Dermatology & Mohs Surgery of Milton, LLC located?
- Lazzara Dermatology & Mohs Surgery of Milton, LLC's practice location on file with NPPES is 12455 Broadwell Rd Ste 102-103, Milton, GA 30004-6315.
- What is Lazzara Dermatology & Mohs Surgery of Milton, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lazzara Dermatology & Mohs Surgery of Milton, LLC is (770) 375-6197.
- Does Lazzara Dermatology & Mohs Surgery of Milton, LLC accept Medicare?
- Lazzara Dermatology & Mohs Surgery of Milton, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lazzara Dermatology & Mohs Surgery of Milton, LLC?
- The authorized official listed on Lazzara Dermatology & Mohs Surgery of Milton, LLC's NPPES record is Danielle Lazzara, Chief Medical Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lazzara Dermatology & Mohs Surgery of Milton, LLC's NPI active?
- Yes — Lazzara Dermatology & Mohs Surgery of Milton, LLC's NPI (1619726890) is active in the NPPES registry as of the last update on 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.