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Individual

SAMANTHA GRACE LAZARUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(301) 540-5246
Mailing address
905 TABB LAKES DR, YORKTOWN, VA 23693-4403
(757) 376-8753

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/14/2024
Last updated
05/14/2024
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