Individual
TIMOTHY NEIL LAZARUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
663 JORDAN STREET, SHREVEPORT, LA 71101
(318) 222-8892
(318) 222-8893
Mailing address
663 JORDAN STREET, SHREVEPORT, LA 71101
(318) 222-8892
(318) 222-8893
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09626
LA
Other
Enumeration date
05/05/2017
Last updated
04/12/2022
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