Individual
LAUREN LAZARUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2415 LIME KILN LN STE B, LOUISVILLE, KY 40222-3429
(502) 414-4557
Mailing address
2415 LIME KILN LN STE B, LOUISVILLE, KY 40222-3429
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
1145939
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3012809
KY
Other
Enumeration date
09/07/2018
Last updated
10/19/2018
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