Individual
NATHANIEL LAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8332 W THUNDERBIRD RD, PEORIA, AZ 85381-4822
(623) 776-3006
Mailing address
8332 W THUNDERBIRD RD, PEORIA, AZ 85381-4822
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S023282
AZ
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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