Individual
DR. KIMBERLY DARLENE LAZARUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12015 LOUETTA RD, SUITE 100, HOUSTON, TX 77070-1148
(281) 664-2152
(281) 664-2152
Mailing address
11840 FM 1960 RD W, HOUSTON, TX 77065-3840
(832) 912-7044
(832) 912-7033
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M1868
TX
2080A0000X
Pediatric Adolescent Medicine Physician
M1868
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178813501
—
TX
Enumeration date
06/06/2006
Last updated
02/14/2013
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