Provider Demographics
NPI:1467041988
Name:LAZARO, JOCELYN LEE (RN)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:LEE
Last Name:LAZARO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:LAU
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:369 18TH AVE UNIT 302
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-2797
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:369 18TH AVE UNIT 302
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-2797
Practice Address - Country:US
Practice Address - Phone:415-609-4686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95100956163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse