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

Dr. Carlo R. Lazzaro, MD

Individual provider Diagnostic Radiology Physician · NPI 1780623793

Dr. Carlo R. Lazzaro, MD is a Diagnostic Radiology in Roseville, Minnesota. Graduated from Indiana University School of Medicine in 2001, 25 years ago. Practices with Advanced Radiology Services PC, a 252-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana, Michigan, Minnesota and North Dakota and 1 more.

Years since qualifying
25
Trained at
Indiana University School of Medicine
Licensed in
IN, MI, MN, ND, WI
In the registry since
2006
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2355 Hwy 36 W Ste 100
Roseville, MN 55113
Phone: (651) 292-2000
Show map & directions

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

Additional practice locations (1)

  • 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 — (616) 363-7272

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301078104 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 81312 (MN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 01062010 (IN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 14462-320 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 23784 (ND)

Record details

NPI number1780623793
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Advanced Radiology Services Pc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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