Gasper Lazzara, DDS

NPI 1841462801 · on the registry since 2008 · sole proprietor

Practice

Address: 5000 Sawgrass Village Cir
Suite 3
Ponte Vedra Beach, FL 32082
Phone: (904) 567-1400
Fax: (904) 273-6068
Organisation at this address: Blankenship Dental At Oakleaf Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223X0400X
1223X0400X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-03-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida