Individual
CHELSEA CHARITY LAZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 NISSAN DR, CANTON, MS 39046-8562
(601) 855-6010
Mailing address
168 OAK GROVE DR, BRANDON, MS 39047-6805
(601) 572-1893
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905823
MS
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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