Individual
MS. LINDA CHRISTINE LAZZARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FPMHNP
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804
(417) 761-5000
(417) 761-5011
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2012002379
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420002503
—
MO
Enumeration date
08/31/2009
Last updated
03/22/2021
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