Individual
MARC DONALD LAZARRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
700 W OAK ST, KISSIMMEE, FL 34741-4924
(407) 846-2266
Mailing address
2970 AVIAN LOOP, KISSIMMEE, FL 34741-7952
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11038512
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/03/2025
Last updated
05/28/2025
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