Individual
DR. JOEL DEAN LAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1267 ROSECRANS ST, SUITE E, SAN DIEGO, CA 92106
(619) 540-6038
(619) 426-1906
Mailing address
1267 ROSECRANS ST, SUITE E, SAN DIEGO, CA 92106
(619) 540-6038
(619) 426-1906
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY12520
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY125200
—
CA
Enumeration date
09/14/2006
Last updated
07/08/2007
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