Provider Demographics
NPI:1558786186
Name:LAZZARA, LOUIS JAMES JR (DO)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:JAMES
Last Name:LAZZARA
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:216 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-5241
Mailing Address - Country:US
Mailing Address - Phone:724-968-5310
Mailing Address - Fax:724-421-5842
Practice Address - Street 1:216 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5241
Practice Address - Country:US
Practice Address - Phone:724-968-5310
Practice Address - Fax:724-431-4703
Is Sole Proprietor?:No
Enumeration Date:2014-02-18
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01022042052084P0800X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program