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

Individual provider Psychologist · NPI 1780820886

Dr. Kenneth Christopher Lazzara, PHD is a Psychologist in Fort Myers, Florida. Practices as a sole proprietor. Licensed in Florida and Michigan.

Licensed in
FL, MI
In the registry since
2008
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

9160 Forum Corporate Pkwy Ste 350
Fort Myers, FL 33905-7808
Phone: (239) 391-7313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY11760 (FL)
Psychologist Taxonomy 103T00000X · Licence 6301010699 (MI)

Record details

NPI number1780820886
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 20, 2008
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023

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