Individual
DANIELA LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18645 HATTERAS ST UNIT 263, TARZANA, CA 91356-1874
(818) 457-8792
Mailing address
18645 HATTERAS ST UNIT 263, TARZANA, CA 91356-1874
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95011663
CA
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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