Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104150812 Individual Practitioner Female Practitioner

Kristen M Lazzaro , LPN

Licensed Practical Nurse • Webster, NY

Professional Overview & Biography Verified Profile Summary

Kristen Lazzaro, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Webster, NY. Practice services are available at 1150 MORDEN BLUSH LN APT H under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1150 Morden Blush Ln Apt H

Webster, NY 145804512

Telephone 5859435724

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Webster, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
75 Specialists

Practicing in Webster, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-19
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 295328-1

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Licensed Practical Nurse

NUCC Taxonomy Code: 164W00000X

State License NY 295328

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1104150812 (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address July 29, 2021

Registered at 846 KLEM RD, WEBSTER, NY 145804512 (Tel: 5859435724)

👤
Provider Name / Credentials Updated July 29, 2021

Recorded as KRISTEN LAZZARO, LPN

NPI Profile Active September 28, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2009

Registered at 1150 MORDEN BLUSH LN APT H, WEBSTER, NY 145804512 (Tel: 5859435724)

📍
Updated Business Mailing Address September 28, 2009

Registered at 1150 MORDEN BLUSH LN APT H, WEBSTER, NY 145804512 (Tel: 5859435724)

👤
Provider Name / Credentials Updated September 28, 2009

Recorded as KRISTEN WAHL, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2009

Licensed Practical Nurse (License #295328-1 in NY)

🟢
Initial NPI Registration & Enumeration September 28, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104150812
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2009
Last Update: July 29, 2021
Sole Proprietor: Yes

Mailing Address

846 Klem Rd

Webster, NY 145804512

Phone: 5859435724

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.