| Doctor Name: | JOHN LAZAR |
| NPI Number: | 1154599785 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | 16970 |
| Business Practice Address: | 2900 N Sepulveda Blvd Manhattan Beach, CA - 902662730 |
| Business Phone Number: | 3105463481 |
| Business Fax Number: | |
| Mailing Address: | 15111 Freeman Ave, Unit 24 LAWNDALE |
| State: | CA |
| Postal Code: | 902602159 |
| Phone Number: | 3104849787 |
| Fax Number: | |
| NPI Enumeration Date: | 02/17/2008 |
| NPI Last Update Date: | 10/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 16970 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |