Provider Demographics
NPI:1265230189
Name:LAZUM, NAW TAWNG
Entity type:Individual
Prefix:MR
First Name:NAW TAWNG
Middle Name:
Last Name:LAZUM
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5632 HARDING ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-4513
Mailing Address - Country:US
Mailing Address - Phone:786-531-5473
Mailing Address - Fax:
Practice Address - Street 1:5632 HARDING ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-4513
Practice Address - Country:US
Practice Address - Phone:786-531-5473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health