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

Ethan Lazare

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477401768

Ethan Lazare is a Student in an Organized Health Care Education/Training Program in Gainesville, Florida. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1147 NW 64th Ter
Gainesville, FL 32605-4218
Phone: (352) 333-5168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1477401768
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2026
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026
Mailing address1147 Nw 64th Ter, Gainesville, FL 32605-4218

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