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

Marisse Aileen Lardizabal, DPM

Individual provider Podiatrist · NPI 1376801803

Marisse Aileen Lardizabal, DPM is a Podiatry in Phoenix, Arizona. Graduated from Temple University School of Medicine in 2012, 14 years ago. Practices with District Medical Group Inc, a 450-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
14
Trained at
Temple University School of Medicine
Licensed in
AZ
In the registry since
2012
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 697-8787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 0799 (AZ)

Record details

NPI number1376801803
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 3, 2012
Last updated in NPPESOctober 14, 2015

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice District Medical Group Inc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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