Individual
JENNY LYNN LAZARUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 W SYCAMORE ST, WILLOWS, CA 95988-2826
(530) 330-5222
Mailing address
PO BOX 159, STONYFORD, CA 95979-0159
(916) 678-0351
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP10043378
TX
208D00000X
General Practice Physician
4301108934
MI
208D00000X
General Practice Physician
Primary
A168579
CA
Other
Enumeration date
06/06/2012
Last updated
08/19/2021
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