MS. TAREN LAZZARI, CNS - NPI NUMBER 1679555874

Summary

Provider Name: MS. TAREN LAZZARI, CNS

NPI Number: 1679555874

Clasification: Clinical Nurse Specialist (364SP0813X)

Specialization: Psych/Mental Health, Geropsychiatric

Organization: PSYCHIATRIC CONSULTATIVE SERVICES, L.L.C.

Address:
230 S CULVER ST
LAWRENCEVILLE, GA
ZIP 30046

Phone Number: (770) 963-1537



Detailed Information

MS. Taren Lazzari, CNS is a psych/mental health, geropsychiatric clinical nurse specialist in Lawrenceville, GA with 12 years of experience. The assigned NPI number for this provider is 1679555874 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

230 S CULVER ST
LAWRENCEVILLE, GA
ZIP 30046-806
Phone: (770) 963-1537
Fax: (866) 373-5720

The enumeration date for this NPI number is 11/15/2005 and was last updated on 11/5/2013.

Taxonomy Codes

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 364SP0813X Clinical Nurse Specialist Psych/Mental Health, Geropsychiatric RN124270 GA Yes

NPI Record

No. Field Name Field Value
1 NPI 1679555874
2 Entity Type Code 1
3 Provider Last Name Legal Name LAZZARI
4 Provider First Name TAREN
5 Provider Name Prefix Text MS.
6 Provider Credential Text CNS
7 Provider First Line Business Practice Location Address 230 S CULVER ST
8 Provider Business Practice Location Address City Name LAWRENCEVILLE
9 Provider Business Practice Location Address State Name GA
10 Provider Business Practice Location Address Postal Code 300464806
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 7709631537
13 Provider Business Practice Location Address Fax Number 8663735720
14 Provider Enumeration Date 11/15/2005
15 Last Update Date 11/5/2013
16 Provider Gender Code F
17 Healthcare Provider Taxonomy Code 1 364SP0813X
18 Provider License Number 1 RN124270
19 Provider License Number State Code 1 GA
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Sole Proprietor N

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This page was last updated on: 9/11/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.