Lazarus Medical Corporation | |
4992 East Park Rd #159 Stonyford CA 95979 | |
(916) 678-0351 | |
Not Available |
Full Name | Lazarus Medical Corporation |
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Speciality | General Practice |
Location | 4992 East Park Rd #159, Stonyford, California |
Authorized Official Name and Position | Jenny Lynn Lazarus (PRESIDENT) |
Authorized Official Contact | 9166780351 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lazarus Medical Corporation Po Box 159 Stonyford CA 95979-0159 Ph: (916) 678-0351 | Lazarus Medical Corporation 4992 East Park Rd #159 Stonyford CA 95979 Ph: (916) 678-0351 |
NPI Number | 1952987836 |
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Provider Enumeration Date | 03/22/2021 |
Last Update Date | 03/22/2021 |
Identifier | Type | State | Issuer |
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1952987836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |