Individual
DR. RICHARD LAZARUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
2523 HERSCHEL ST, JACKSONVILLE, FL 32204-4509
(305) 587-5353
Mailing address
2523 HERSCHEL ST, JACKSONVILLE, FL 32204-4509
(305) 587-5353
(407) 612-1595
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11028544
FL
Other
Enumeration date
09/12/2023
Last updated
01/20/2025
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