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Organization

OUTREACH PSYCHIATRIC ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAREN LAZZARI APRN, BC (VICE PRESIDENT)
(770) 265-2772
Entity
Organization

Contact information

Practice address
250 CONSTITUTION BLVD, STE 203, LAWRENCEVILLE, GA 30046-8432
(770) 265-2772
(866) 876-7892
Mailing address
250 CONSTITUTION BLVD, STE 203, LAWRENCEVILLE, GA 30046-8432
(770) 265-2772
(866) 876-7892

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
2084P0805X
Geriatric Psychiatry Physician

Other

Enumeration date
07/12/2011
Last updated
07/12/2011
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