Individual
DOMINIQUE AMBER LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
32255 NORTHWESTERN HWY STE 165, FARMINGTON HILLS, MI 48334-1505
(248) 735-8272
Mailing address
32255 NORTHWESTERN HWY STE 165, FARMINGTON HILLS, MI 48334-1505
(248) 735-8272
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704329262
MI
363LF0000X
Family Nurse Practitioner
4704329262
MI
Other
Enumeration date
11/15/2021
Last updated
09/21/2023
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