Individual ProviderLisa J. LazaroPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address150 55th St, Brooklyn, NY 11220-2559(718) 630-7185(800) 377-8721PECOS EnrollmentBased on the most recent information from CMS, provider Lisa J. Lazaro does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1356397178Provider TypeIndividualFull NameLazaro, Lisa J.CredentialP.A.GenderFemaleSole ProprietorNoEnumeration Date5/25/2006Last Updated1/23/2008Contact InformationPractice LocationPractice Address150 55th St, Brooklyn, NY 11220-2559Phone(718) 630-7185FaxUnlisted FaxMailing LocationMailing AddressPO Box 409041, Atlanta, GA 30384-9041Phone(800) 377-8721Fax(304) 523-2241Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense010883-1New York