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

Dr. Larry Rivera Lazaro, MD

Individual provider Internal Medicine Physician · NPI 1568449007

Dr. Larry Rivera Lazaro, MD is an Internal Medicine in Iron Mountain, Michigan. Qualified in 1991, 35 years ago. Practices with Age Management of West Michigan PC, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
35
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone: (810) 692-4030
Fax: (616) 222-0284
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301069069 (MI)

Record details

NPI number1568449007
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 27, 2005
Last updated in NPPESMay 30, 2013

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Age Management Of West Michigan Pc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Iron Mountain