Provider Demographics
NPI:1972137883
Name:LAZARUSMAN CONSULTING, PLLC
Entity Type:Organization
Organization Name:LAZARUSMAN CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CEDRIC
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LLP
Authorized Official - Phone:231-747-6197
Mailing Address - Street 1:2416 PECK ST
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON HTS
Mailing Address - State:MI
Mailing Address - Zip Code:49444-1431
Mailing Address - Country:US
Mailing Address - Phone:231-747-6197
Mailing Address - Fax:
Practice Address - Street 1:2416 PECK ST
Practice Address - Street 2:
Practice Address - City:MUSKEGON HTS
Practice Address - State:MI
Practice Address - Zip Code:49444-1431
Practice Address - Country:US
Practice Address - Phone:231-747-6197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-29
Last Update Date:2020-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty