Individual
MR. DANIEL READE LAZARUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
1121 S DORA ST, APT. F, UKIAH, CA 95482-8327
(707) 468-8004
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
731036
CA
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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