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

Marc A. Lazzara DO, a Medical Corporation

Organization Sports Medicine (Family Medicine) Physician · NPI 1285733949

Marc A. Lazzara DO, a Medical Corporation is a Sports Medicine (Family Medicine) Physician in Irvine, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

4521 Charleville Cir
Irvine, CA 92604-2329
Phone: (714) 544-8167
Fax: (949) 679-1909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 20A7964 (CA)

Record details

NPI number1285733949
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Lazzara — Ceo · (714) 544-8167
NPI enumeratedSeptember 21, 2006
Last updated in NPPESDecember 5, 2008
Mailing address4521 Charleville Cir, Irvine, CA 92604-2329

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