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

Nicholas A. Lazzaro, MD

Individual provider Diagnostic Radiology Physician · NPI 1700076619

Nicholas A. Lazzaro, MD is a Diagnostic Radiology in Boise, Idaho. Graduated from Indiana University School of Medicine in 2003, 23 years ago. Practices with Florida Hospital Medical Group Inc, a 329-clinician group and accepts Medicare assignment. Licensed in Idaho and Michigan.

Years since qualifying
23
Trained at
Indiana University School of Medicine
Licensed in
ID, MI
In the registry since
2007
Specialties on file
2
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

190 E Bannock
Boise, ID 83712
Phone: (208) 381-2094
Fax: (208) 381-1791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence M-11001 (ID)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 4301082251 (MI)

Record details

NPI number1700076619
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2007
Last updated in NPPESJuly 8, 2010

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Florida Hospital Medical Group Inc — 329 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations26 on file with Medicare

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