Look up the most recent NPI and PECOS records

Kathleen M Lazzarini

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

950 Campbell Ave, West Haven, CT 06516-2770

PECOS Enrollment

Based on the most recent information from CMS, provider Kathleen M Lazzarini does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1952320871
Provider Type
Individual
Full Name
Lazzarini, Kathleen M
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
7/19/2006
Last Updated
11/23/2015

Contact Information

Practice Location

950 Campbell Ave, West Haven, CT 06516-2770

(203) 932-5711

(203) 937-4789

Mailing Location

73 Seaview Ave, Branford, CT 06405-5442

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 034237 Connecticut

Provider Identifiers

ID	Description	Issuer
ID 001342378	Description Medicaid	Issuer Unlisted Connecticut

Kathleen M Lazzarini

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Chiles, Catherine

Gelernter, Joel

Godleski, Linda Susan

Wu, Stephanie

Rosen, Marc

Owen, Kim Ranell

Arnaout, Bachaar

Ho, Pochu

Giebisch, Robert G

Young, Juan Joseph