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Organization

LAZARUS PSYCHIATRY LLC

Active
Parent organization
LAZARUS PSYCHIATRY LLC
Other names
Lazarus Psychiatry
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAZARUS PSYCHIATRY LLC
Authorized official
JAE HOON KIM (OWNER)
(202) 236-4669
Entity
Organization

Contact information

Practice address
7535 LITTLE RIVER TPKE STE 200A, ANNANDALE, VA 22003-2988
(202) 236-4669
(708) 879-8208
Mailing address
7535 LITTLE RIVER TPKE STE 200A, ANNANDALE, VA 22003-2988
(202) 236-4669
(708) 879-8208

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
02/04/2022
Last updated
06/01/2024
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