Individual
LAZARUS COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7365 PRAIRIE FALCON RD, LAS VEGAS, NV 89128-0807
(702) 766-9840
Mailing address
5075 SPYGLASS HILL DR APT 2081, LAS VEGAS, NV 89142-2783
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1303791
NV
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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