Individual
MRS. ADI LAZARY-DAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
R164095
MD
367A00000X
Advanced Practice Midwife
Primary
R164095
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R164095
MD LICENSE
MD
Enumeration date
11/04/2009
Last updated
09/16/2023
Update your record
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