Lazareth, Victoria L

Lazareth, Victoria L is an individual health care provider with primary practice located at 2 Livewell Dr , Kennebunk ME 04043-6762. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Lazareth, Victoria L can be contacted via phone (207) 467-8800.

Contact Information

Primary practice address
2 Livewell Dr Kennebunk ME 04043-6762
Phone: (207) 467-8800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN224447 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X TPP201196 Maine
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN224447 Massachusetts

Profile Details

NPI number 1497729297
LBN Legal business name Lazareth, Victoria L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Jun 9th, 2020 - about 5 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 1497729297 NPPES
Massachusetts MEDICAID 0375900

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