Individual provider · Type 1 NPI
Breanna Marie Lazar, NP
Family Nurse Practitioner · Redding, CA
NPI number
1417569575
Active
Practice location
1035 Placer St
Redding, CA 96001-1170
Mailing address
3001 Luke Trl
Redding, CA 96002-9679
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 95015119 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 95015119 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1417569575
Breanna Marie Lazar, NP's National Provider Identifier is 1417569575, issued on Aug 20, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Redding, CA. The record was last updated on Sep 28, 2020.