Individual
BREANNA MARIE LAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1035 PLACER ST, REDDING, CA 96001-1170
(530) 246-5710
Mailing address
3001 LUKE TRL, REDDING, CA 96002-9679
(661) 878-1800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95015119
CA
363LP0200X
Pediatric Nurse Practitioner
95015119
CA
Other
Enumeration date
08/20/2020
Last updated
09/28/2020
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