Sean Wayne Lazarus D.P.M. LLC
Podiatrist in West Haven, CT. Organization (NPI-2).
NPI number1104236199
StatusActive
Last updated in NPPESSep 27, 2025
Details
- NPI
- 1104236199
- Entity type
- Organization (NPI-2)
- Legal business name
- Sean Wayne Lazarus D.P.M. LLC
- Organization subpart
- No
- Enumeration date
- Apr 30, 2014
- Certification date
- Sep 27, 2025
- Last updated
- Sep 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | – | – | |
| 213ES0131X | – | – |
Practice location
764 Campelle AveUnitg
West Haven, CT 06516-3786
Phone 475-238-7400 · Fax 475-238-7400
Mailing address
764 Campelle AveUnit G
West Haven, CT 06516-3786
Phone 475-238-7400 · Fax 475-238-7400
Authorized official
Sean Wayne Lazarus
Doctor
2034530704
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Podiatrist providers in West Haven, CT
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.