Individual provider · Type 1 NPI

Lazare Shadzeka

Psychiatric/Mental Health Nurse Practitioner · Largo, MD

NPI number 1760015010 Active

Practice location

10530 Campus Way S # 1068
Largo, MD 20774-1309

Call (240) 305-5298 Map

Fax (202) 953-6719

Mailing address

49B Joyceton Ter
Upper Marlboro, MD 20774-1341

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XRN1033678 (DC)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XR207679 (MD)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1760015010

Lazare Shadzeka's National Provider Identifier is 1760015010, issued on Feb 14, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Largo, MD. The record was last updated on Sep 9, 2024.