Provider Demographics
NPI:1932790227
Name:LAZARUS, JUNE (DC)
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:
Last Name:LAZARUS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 BEE CAVES RD STE 610
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6663
Mailing Address - Country:US
Mailing Address - Phone:512-648-4483
Mailing Address - Fax:
Practice Address - Street 1:3300 BEE CAVES RD STE 610
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6663
Practice Address - Country:US
Practice Address - Phone:512-648-4483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist