Individual
ANN MARIE LAZARUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
5929 BROADWAY, SAN ANTONIO, TX 78209
(210) 824-5392
(210) 824-3986
Mailing address
5929 BROADWAY, SAN ANTONIO, TX 78209
(210) 824-5392
(210) 824-3986
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
635514
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
635514
STATE LICENSE
TX
Enumeration date
07/30/2007
Last updated
04/26/2010
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