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

David W Lazan, MD

Individual provider Urology Physician · NPI 1871568303

David W Lazan, MD is an Internal Medicine in Jonesboro, Georgia. Graduated from Washington University School of Medicine in 1984, 42 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
42
Trained at
Washington University School of Medicine
Licensed in
FL, GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2400 Mount Zion Pkwy
Jonesboro, GA 30236-2500
Phone: (404) 365-0966
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 078072 (GA)
Urology Physician Taxonomy 208800000X · Licence 208800000X (FL)

Record details

NPI number1871568303
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 20, 2006
Last updated in NPPESSeptember 13, 2018
Mailing address3495 Piedmont Rd Ne, Atlanta, GA 30305-1717

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount