Provider Demographics
NPI:1396416392
Name:LAZARUS, EUPHEMIA MARLENE CAROLAN (DNP FNP-C)
Entity Type:Individual
Prefix:DR
First Name:EUPHEMIA
Middle Name:MARLENE CAROLAN
Last Name:LAZARUS
Suffix:
Gender:F
Credentials:DNP FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 CORNELL DR
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4936
Mailing Address - Country:US
Mailing Address - Phone:856-718-5397
Mailing Address - Fax:
Practice Address - Street 1:77 CORNELL DR
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4936
Practice Address - Country:US
Practice Address - Phone:856-718-5397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-21
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01188400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily