Organization
TAREN LAZZARI MSRNCS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAREN LAZZARI (PRESIDENT)
(770) 265-2772
Entity
Organization
Contact information
Practice address
265 LEDGEMONT CT NE, ATLANTA, GA 30342-2097
(770) 265-2772
Mailing address
4780 ASHFORD DUNWOODY RD, SUITE A-266, ATLANTA, GA 30338-5504
(770) 265-2772
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN124127
GA
Other
Enumeration date
01/06/2007
Last updated
08/28/2007
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