Provider Demographics
NPI:1801824602
Name:LAZARD, KAREN L (PA-C)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:LAZARD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:L
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:PO BOX 650859
Mailing Address - Street 2:DEPT 710
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265-0859
Mailing Address - Country:US
Mailing Address - Phone:409-266-1888
Mailing Address - Fax:
Practice Address - Street 1:1108 E MULBERRY ST STE A
Practice Address - Street 2:
Practice Address - City:ANGLETON
Practice Address - State:TX
Practice Address - Zip Code:77515-3955
Practice Address - Country:US
Practice Address - Phone:409-266-1888
Practice Address - Fax:979-849-9740
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA00920363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant