Provider Demographics
NPI:1881403897
Name:CHAMBERS, LAZARUS EARL
Entity type:Individual
Prefix:
First Name:LAZARUS
Middle Name:EARL
Last Name:CHAMBERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:LAZARUS
Other - Middle Name:JOSEPH
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3700 W MINERAL KING AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-5531
Mailing Address - Country:US
Mailing Address - Phone:559-825-8455
Mailing Address - Fax:
Practice Address - Street 1:3700 W MINERAL KING AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5531
Practice Address - Country:US
Practice Address - Phone:559-825-8455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAY7701354106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician