Individual
SAMUEL A LAZARUS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12266 CHARLES ST, OMAHA, NE 68154-1320
(406) 298-0938
Mailing address
12266 CHARLES ST, OMAHA, NE 68154-1320
(406) 298-0938
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
H13128240
NE
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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