Individual provider · Type 1 NPI

Victoria L. Lazareth, NP

Adult Health Nurse Practitioner · South Portland, ME

NPI number 1497729297 Active

Practice location

100 Foden Rd Ste 203
South Portland, ME 04106-2327

Mailing address

100 Gannett Dr Ste C
South Portland, ME 04106-5900

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XRN224447 (MA)
Nurse Practitioner 363L00000XRN224447 (MA)
Adult Health Nurse Practitioner Primary 363LA2200XCNP201196 (ME)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1497729297

Victoria L. Lazareth, NP's National Provider Identifier is 1497729297, issued on Feb 16, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in South Portland, ME. The record was last updated on Mar 4, 2026.