Provider Demographics
NPI:1851601553
Name:LAZARUS, LOWELL N (DC)
Entity Type:Individual
Prefix:DR
First Name:LOWELL
Middle Name:N
Last Name:LAZARUS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2059 VILLAGE PARK WAY APT 220
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5437
Mailing Address - Country:US
Mailing Address - Phone:858-442-5282
Mailing Address - Fax:
Practice Address - Street 1:2059 VILLAGE PARK WAY APT 220
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5437
Practice Address - Country:US
Practice Address - Phone:858-442-5282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30315111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor