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Individual
JENNY LYNN LAZARUS
Active
Individual
JENNY LYNN LAZARUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP10043378
TX
208D00000X
General Practice Physician
4301108934
MI
208D00000X
General Practice Physician
Primary
A168579
CA
Other
Enumeration date
06/06/2012
Last updated
08/19/2021
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