IndividualActive
Alan Lazzar
NPI 1740914274 · Podiatrist · Fort Defiance, AZ
Provider details
- NPI number
- 1740914274
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- POD-001151 (AZ)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
Corner of Route N12 and N7
Fort Defiance, AZ 86504-0649
Phone: (928) 729-8000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 649
Fort Defiance, AZ 86504-0649
Registry dates
- Enumerated
- 2022-07-11
- Last updated
- 2026-02-09
- Certified
- 2026-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.