Organization
LAZAR PSYCHOLOGICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZAR CLAIRE LAZAR PH.D. (OWNER)
(269) 781-0157
Entity
Organization
Contact information
Practice address
310 W GREEN ST, MARSHALL, MI 49068-1519
(269) 781-0157
(269) 781-9755
Mailing address
310 W GREEN ST, MARSHALL, MI 49068-1519
(269) 781-0157
(269) 781-9755
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A31143
BCBSM
MI
Enumeration date
07/30/2007
Last updated
07/30/2007
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