Organization
BARBARA LAZERUS CRNA MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J LAZERUS CRNA (PRESIDENT OWNER)
(501) 467-8061
Entity
Organization
Contact information
Practice address
1001 SCHNEIDER DR, MALVERN, AR 72104-4811
(501) 337-4911
Mailing address
13291 HIGHWAY 67, MALVERN, AR 72104-7431
(501) 771-4370
(501) 327-9722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160257002
—
AR
Enumeration date
04/13/2006
Last updated
01/20/2010
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