Healthcare Provider Details

I. General information

NPI: 1609721646
Provider Name (Legal Business Name): LAZUL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

173 N HASKELL AVE
WILLCOX AZ
85643-2119
US

IV. Provider business mailing address

173 N HASKELL AVE
WILLCOX AZ
85643-2119
US

V. Phone/Fax

Practice location:
  • Phone: 480-530-6170
  • Fax: 480-520-8942
Mailing address:
  • Phone: 480-530-6170
  • Fax: 480-520-8942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. KRISTIAN ABARCA
Title or Position: OWNER
Credential: DNP, FNP-C
Phone: 480-530-6170