Alan Lazzar
Podiatrist in Fort Defiance, AZ
Registered providerLicense # listed (AZ)Medicare-enrolledAccepts Medicare assignment
Public-record details
- Address
- Corner of Route N12 and N7, Fort Defiance, AZ 86504
- Phone
- (928) 729-8000
- Listed under
- Individual podiatrists
- NPI
- 1740914274
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Podiatrist (213E00000X)
- License number on NPI record
- POD-001151 (AZ)
- NPI first issued
- Jul 11, 2022
- Years since NPI first issued
- 4 years (since 2022)
- License state on NPI record
- AZ
- NPI record last updated
- Feb 9, 2026
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Professional school graduation (CMS)
- 2022 (4 years ago)
- Professional school (CMS)
- William M. Scholl College of Podiatric Medicine
- Medicare group practice (CMS)
- The Fort Defiance Indian Hospital Board, Incorporation (151 clinicians)
- Practice locations on file with Medicare (CMS)
- 2
- Other podiatry listings at this street address
- 6
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