Sean Wayne Lazarus, D.P.M
Podiatrist in West Haven, CT. Individual provider (NPI-1).
NPI number1619991981
StatusActive
Last updated in NPPESSep 27, 2025
Details
- NPI
- 1619991981
- Entity type
- Individual (NPI-1)
- Name
- Sean Wayne Lazarus
- Credential
- D.P.M
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2006
- Certification date
- Sep 27, 2025
- Last updated
- Sep 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 000642 | CT | Yes |
| 213ES0131X | 000642 | CT |
Practice location
764 Campbell AveSuite G
West Haven, CT 06516-3786
Phone 475-238-7400 · Fax 475-238-7982
Mailing address
764 Campbell AveSuite G
West Haven, CT 06516-3786
Phone 475-238-7400 · Fax 475-238-7982
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