| NPI | 1962011205 |
|---|---|
| Former Legal Business Name | LAZARUS PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | JAE HOON KIM Owner 202-236-4669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2022-09-12 |