Individual
STEPHANIE LAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2003 W FULTON ST, CHICAGO, IL 60612-2345
(773) 677-9616
Mailing address
2003 W FULTON ST, CHICAGO, IL 60612-2345
(773) 677-9616
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
209.032419041.371190
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209.032419041.371190
IL
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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