Organization
CEREBRO WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN KEOKE LAZARO PMHNP (OWNER)
(602) 904-2277
Entity
Organization
Contact information
Practice address
2111 E BASELINE RD STE F4, TEMPE, AZ 85283-1519
(602) 888-3474
(762) 212-4347
Mailing address
5223 1/2 S 5TH ST, PHOENIX, AZ 85040-8707
(602) 904-2277
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
11/10/2023
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