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

Lazzara Dermatology & Mohs Surgery of Milton, LLC

Organization MOHS-Micrographic Surgery Physician · NPI 1619726890

Lazzara Dermatology & Mohs Surgery of Milton, LLC is an MOHS-Micrographic Surgery Physician in Milton, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12455 Broadwell Rd Ste 102-103
Milton, GA 30004-6315
Phone: (770) 375-6197
Fax: (770) 215-7577
Show map & directions

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

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X

Record details

NPI number1619726890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danielle Lazzara — Chief Medical Officer · (732) 977-8371
NPI enumeratedMay 18, 2024
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025
Mailing address12455 Broadwell Rd Ste 102-103, Milton, GA 30004-6315