| Lazarus Medical Corporation | |
|
4992 East Park Rd #159 Stonyford CA 95979 | |
| (916) 678-0351 | |
| Not Available |
| Full Name | Lazarus Medical Corporation |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 03/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952987836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |