LAZARUS PSYCHIATRY LLC NPI 1427702893

NPI Information

  • NPI: 1427702893
  • Provider Name: LAZARUS PSYCHIATRY LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Former Legal Business Name: LAZARUS PSYCHIATRY
  • Address: 7535 LITTLE RIVER TPKE STE 200A
    ANNANDALE, VA
    ZIP 22003
  • Phone: (202) 236-4669

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NPI Details

LAZARUS PSYCHIATRY LLC is a psychiatric/mental health nurse practitioner in Annandale, 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:

7535 LITTLE RIVER TPKE STE 200A
ANNANDALE, VA
ZIP 22003-988
Phone: (202) 236-4669
Fax: (708) 879-8208

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 6/1/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 3/30/2025

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