Provider Demographics
NPI:1659168649
Name:LAZAR, JONAH EMMANUEL (DC)
Entity type:Individual
Prefix:
First Name:JONAH
Middle Name:EMMANUEL
Last Name:LAZAR
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 1:6907 226TH PL SW
Mailing Address - Street 2:
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043-2331
Mailing Address - Country:US
Mailing Address - Phone:503-706-0827
Mailing Address - Fax:
Practice Address - Street 1:6208 196TH ST SW STE 103
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4587
Practice Address - Country:US
Practice Address - Phone:425-222-2812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH61621037111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor