1619019080 NPI number — DR. VIRGINIA LYNN LAZARUS PSY.D

Table of content: DR. VIRGINIA LYNN LAZARUS PSY.D (NPI 1619019080)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619019080 NPI number — DR. VIRGINIA LYNN LAZARUS PSY.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAZARUS
Provider First Name:
VIRGINIA
Provider Middle Name:
LYNN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PSY.D
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619019080
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3017 HARTZELL ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EVANSTON
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60201-1123
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-791-1624
Provider Business Mailing Address Fax Number:
847-733-1217

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2530 CRAWFORD AVE
Provider Second Line Business Practice Location Address:
SUITE 212
Provider Business Practice Location Address City Name:
EVANSTON
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60201-4970
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-604-1945
Provider Business Practice Location Address Fax Number:
847-733-1217
Provider Enumeration Date:
02/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  071007124 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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