DR. SRILATHA ATLURI LAZZARO (NPI# 1790941227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790941227 |
| Entity Type | Individual |
| Full Name | DR. SRILATHA ATLURI LAZZARO |
| Credential | M.D. |
| Practice Address |
3807 Spring St Racine WI 53405-1667 |
| Practice Telephone | 2626878354 |
| Mailing Telephone | 2626878354 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2010-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 5497920 | WI | Allopathic & Osteopathic Physicians |
| N | 207K00000X | Allergy & Immunology | 036.121282 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
3807 SPRING ST |
| City | RACINE |
| State | WI |
| Zip Code | 53405-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194362160 | Kylie S Nordness | Physician Assistant | 3807 Spring St, Racine, WI 53405-1667 | 2019-12-09 |
| 1164731923 | Muhammad Erfan Ahmad | Family Medicine | 3807 Spring St, Racine, WI 53405 | 2010-09-28 |
| 1407177991 | Rosamma T John | Nurse Practitioner | 3807 Spring St, Racine, WI 53405-1667 | 2010-06-18 |
| 1154510113 | Linda M Thomson | Pharmacist | 3807 Spring St, Racine, WI 53405-1667 | 2007-10-16 |
| 1922297969 | Joseph F Menden | Pharmacist | 3807 Spring St, Racine, WI 53405-1667 | 2007-10-16 |
| 1356534143 | Lori L Henderson | Nurse Practitioner | 3807 Spring St, 3rd Floor-east Wing, Racine, WI 53405-1667 | 2007-08-24 |
| 1548472657 | Kristen Wasilowski Cook | Pediatrics | 3807 Spring St, Racine, WI 53405-1667 | 2007-05-03 |
| 1164566972 | Leslie M Hertz | Pediatrics | 3807 Spring St, Racine, WI 53405-1667 | 2007-02-16 |
| 1891806873 | Joy Briggs | Pediatrics | 3807 Spring St, Racine, WI 53405-1667 | 2006-08-31 |
| 1639189384 | Derek Turner | Internal Medicine | 3807 Spring St, Racine, WI 53405-1667 | 2006-08-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
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| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922167402 | Green Bay Allergy Asthma & Immunology S.c. Oconto | Allergy & Immunology | 203 Smith Ave Ste 1, Oconto, WI 54153-1060 | 2006-12-08 |
| 1518032325 | Allergy and Asthma Associates, Sc | Allergy & Immunology | 436 - B East Longview Drive, Appleton, WI 54911 | 2006-11-21 |
| 1982712204 | Mark A Huftel | Allergy & Immunology | 2727 Plaza Drive, Wausau, WI 54401 | 2006-08-27 |
| 1477660009 | Allergy Research & Care Sc | Allergy & Immunology | 350 Green Tree Road, Glendale, WI 53217-3815 | 2006-08-23 |
| 1609898287 | Allergic Diseases Sc | Allergy & Immunology | 11121 West Oklahoma Avenue, West Allis, WI 53227 | 2006-07-24 |
| 1366475253 | Joseph George Zondlo | Allergy & Immunology | 2333 Riverside Dr., Green Bay, WI 54301 | 2006-07-07 |
| 1952333510 | Kulwant Singh Dhaliwal | Allergy & Immunology | 4906 39th Ave, Kenosha, WI 53144-2108 | 2006-07-06 |
| 1790720613 | Prohealth Care Medical Associates, Inc. | Allergy & Immunology | N17w24100 Riverwood Dr, Prohealth Care Medical Associates, Inc., Waukesha, WI 53188-1177 | 2006-06-17 |
| 1356393292 | Morton Soifer | Allergy & Immunology | 9466 N Broadmoor Rd, Bayside, WI 53217-1309 | 2006-05-17 |
| 1336192061 | Daniel F Wendelborn | Allergy & Immunology | 436 B East Longview Drive, Appleton, WI 54911 | 2006-05-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.