# LAZARUS PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lazarus Psychiatry, Lazarus Psychiatry LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962011205
- **Authorized official:** JAE HOON KIM (OWNER)
- **Authorized official phone:** (202) 236-4669

## Contact information

- **Practice address:** 7201 WISCONSIN AVE STE 440NO175, BETHESDA, MD 20814-4810
- **Practice address phone:** (202) 236-4669
- **Practice address fax:** (708) 879-8208
- **Mailing address:** 7201 WISCONSIN AVE STE 440, BETHESDA, MD 20814-4851
- **Mailing address phone:** (202) 236-4669
- **Mailing address fax:** (708) 879-8208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2020
- **Last updated:** 08/23/2026
