Provider Demographics
NPI:1720374754
Name:LAZARUS, JOASH THEOPHILUS (MD)
Entity Type:Individual
Prefix:DR
First Name:JOASH
Middle Name:THEOPHILUS
Last Name:LAZARUS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3200 DOWNWOOD CIR NW
Mailing Address - Street 2:STE 550
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-1610
Mailing Address - Country:US
Mailing Address - Phone:404-351-0205
Mailing Address - Fax:404-351-4187
Practice Address - Street 1:3200 DOWNWOOD CIR NW
Practice Address - Street 2:STE 550
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-1610
Practice Address - Country:US
Practice Address - Phone:404-351-0205
Practice Address - Fax:404-351-4187
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2020-05-15
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Provider Licenses
StateLicense IDTaxonomies
GA730022084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology