Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laz Medical Group PC

Organization Family Medicine Physician · NPI 1053310128

Laz Medical Group PC is a Family Medicine Physician in Southfield, Michigan. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

20755 Greenfield Rd #1101
Southfield, MI 48075-5403
Phone: (248) 569-7550
Fax: (313) 561-0277
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Family Medicine) Physician (primary) Taxonomy 207QH0002X
Family Medicine Physician Taxonomy 207Q00000X
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X

Record details

NPI number1053310128
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zakari Tata — Physician Owner · (248) 569-7550
NPI enumeratedJuly 20, 2005
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing addressPo Box 250005, W Bloomfield, MI 48325-0005

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