Lazar, Sue Ann

Lazar, Sue Ann is an individual health care provider with primary practice located at 1225 W 86Th St , Indianapolis IN 46260-2203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lazar, Sue Ann can be contacted via phone (317) 253-6427.

Contact Information

Primary practice address
1225 W 86Th St Indianapolis IN 46260-2203
Phone: (317) 253-6427
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28047856A Indiana

Profile Details

NPI number 1326033119
LBN Legal business name Lazar, Sue Ann
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Jan 13th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326033119 NPPES
Indiana MEDICAID 200188230A

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