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NPI Code Detail

MEDICARE: IRENE LAZARUS M.D., M.P.H.

MEDICARE:   IRENE  LAZARUS  M.D., M.P.H.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083P0901XPublic Health & General Preventive Medicine Physician68419TN

General Provider Information

NPI Number : 1538571682
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRENE LAZARUS M.D., M.P.H.
Provider Business Mailing Address
First Line : 3311 YUCCA DR STE 100
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75028-2743
Country : US
Telephone Number : 469-930-4655
Fax Number :
Provider Business Practice Location Address
First Line : 3311 YUCCA DR STE 100
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75028-2743
Country : US
Telephone Number : 469-930-4655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2014
Last Update Date : 02/18/2026

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Directions to “ IRENE LAZARUS M.D., M.P.H.” Practice Location

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