Individual
MR. ADAM WYATT LAZARUS
Active
Individual
MR. ADAM WYATT LAZARUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
66184
FL
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
Update your record
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