LAZARUS PSYCHIATRY LLC NPI 1427702893

NPI Information

NPI: 1427702893
Provider Name: LAZARUS PSYCHIATRY LLC

Former Legal Business Name: LAZARUS PSYCHIATRY

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
11350 RANDOM HILLS RD STE 800
FAIRFAX, VA
ZIP 22030
Phone: (202) 236-4669
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LAZARUS PSYCHIATRY LLC is a psychiatric/mental health nurse practitioner in Fairfax, VA. LAZARUS PSYCHIATRY LLC NPI is 1427702893. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Lazarus Psychiatry.

The provider's business location address is:

11350 RANDOM HILLS RD STE 800
FAIRFAX, VA
ZIP 22030-044
Phone: (202) 236-4669

The provider's authorized official is Jae Hoon Kim .
The authorized official title is Owner and has the following contact phone number (202) 236-4669.

The enumeration date for this NPI number is 2/4/2022 and was last updated on 9/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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