Individual
MR. LAWRENCE W. LAZARUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1925 ASPEN DR STE 901B, SANTA FE, NM 87505-5569
(505) 820-2302
(505) 982-4777
Mailing address
PO BOX 1968, SANTA FE, NM 87504-1968
(505) 820-2302
(505) 982-4777
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2001-62
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A8506
—
NM
01
—
NM00JJ88
BLUE CROSS
NM
Enumeration date
01/31/2006
Last updated
10/11/2024
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