Individual
JACQUELINE ARLENE LAZARUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8060 NW 96TH TER APT 306, TAMARAC, FL 33321-1360
(754) 264-5807
Mailing address
8060 NW 96TH TER APT 306, TAMARAC, FL 33321-1360
(754) 264-5807
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9283554
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN9283554
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
04/28/2021
Last updated
04/28/2021
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