SHANDRA RAE LAZAR LCSW NPI 1508351172

NPI Information

NPI: 1508351172
Provider Name: SHANDRA RAE LAZAR, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
503 AIRPORT RD
MEDFORD, OR
ZIP 97504
Phone: (307) 315-5318
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Shandra Rae Lazar, LCSW is a mental health counselor in Medford, OR. Shandra Rae Lazar, LCSW NPI is 1508351172. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

503 AIRPORT RD
MEDFORD, OR
ZIP 97504-159
Phone: (307) 315-5318

The NPI 1508351172 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/26/2018 and was last updated on 7/29/2022.

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	101YM0800X	Counselor	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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