Organization · Type 2 NPI

Lazarus Psychiatry LLC

Psychiatric/Mental Health Nurse Practitioner · Bethesda, MD

NPI number 1962011205 Active

Practice location

7201 Wisconsin Ave Ste 440NO175
Bethesda, MD 20814-4810

Call (202) 236-4669 Map

Fax (708) 879-8208

Mailing address

7201 Wisconsin Ave Ste 440
Bethesda, MD 20814-4851

Other practice locations

7535 Little River Tpke Ste 200A, Annandale, VA 22003-2988 · (202) 236-4669

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

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NPI record

NPI: 1962011205
Entity type: Organization (Type 2)
Issued: Jul 22, 2020
Last updated: Aug 23, 2026
Status: Active

Other names

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Lazarus Psychiatry LLC · doing business as
Lazarus Psychiatry · former legal business name
Lazarus Psychiatry · former legal business name

Authorized official

Jae Hoon Kim
Owner
(202) 236-4669

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About NPI 1962011205

Lazarus Psychiatry LLC's National Provider Identifier is 1962011205, issued on Jul 22, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bethesda, MD. The record was last updated on Aug 23, 2026.