Dr NICHOLAS A LAZZARO is a male medical professional, specializing in Diagnostic Radiology. He graduated in 2003 from Indiana Medical College, School Of Medicine Of Purdue University.
BOISE RADIOLOGY GROUP PLLC
895 N 6TH ST E
MOUNTAIN HOME
ID
836472207
Tel: 2083812094
| Npi | 1700076619 |
| Pac Id | 1254499502 |
| Professional Enrollment Id | I20100621000515 |
| Last Name | LAZZARO |
| First Name | NICHOLAS |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | INDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY |
| Graduation Year | 2003 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | BOISE RADIOLOGY GROUP PLLC |
| Group Practice Pac Id | 9638153257 |
| Number Of Group Practice Members | 41 |
| Line 1 Street Address | 895 N 6TH ST E |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MOUNTAIN HOME |
| State | ID |
| Zip Code | 836472207 |
| Phone Number | 2083812094 |
| Hospital Affiliation Ccn 1 | 130006 |
| Hospital Affiliation Lbn 1 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 130071 |
| Hospital Affiliation Lbn 2 | ST LUKE'S NAMPA MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 131323 |
| Hospital Affiliation Lbn 3 | ST LUKE'S WOOD RIVER MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | 131311 |
| Hospital Affiliation Lbn 4 | ST LUKE'S ELMORE MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | 130007 |
| Hospital Affiliation Lbn 5 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| Professional Accepts Medicare Assignment | Y |
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