Individual
MRS. GAYLE MARIE LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.E.D
Contact information
Practice address
4510 N 37TH AVE, PHOENIX, AZ 85019-3206
(602) 336-2990
Mailing address
6530 N 44TH AVE, GLENDALE, AZ 85301-4236
(623) 842-8616
(623) 842-1384
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
LAC-1761
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
572877
—
AZ
Enumeration date
02/12/2007
Last updated
07/08/2007
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