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NPI Code Detail

MEDICARE: JUDITH LAZARUS ARNP,CNM

MEDICARE: JUDITH LAZARUS ARNP,CNM
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
1367A00000XAdvanced Practice MidwifeAP30001878WA
2163W00000XRegistered NurseRN00081634WA

General Provider Information

NPI Number : 1578672200
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH LAZARUS ARNP,CNM
Provider Business Mailing Address
First Line : PO BOX 3835
Second Line :
City : SEATTLE
State : WA
Zip : 98124-3835
Country : US
Telephone Number : 206-548-3114
Fax Number : 206-762-6355
Provider Business Practice Location Address
First Line : 9245 RAINIER AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98118-5569
Country : US
Telephone Number : 206-722-8444
Fax Number : 206-721-6310
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 11/11/2016

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