Healthcare Provider Details

I. General information

NPI: 1831143056
Provider Name (Legal Business Name): JOYCE P. LAZARUS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 TOWN AND COUNTRY DR STE 104
NORCO CA
92860-3611
US

IV. Provider business mailing address

940 N HAVEN AVE STE 180-25
ONTARIO CA
91764-4970
US

V. Phone/Fax

Practice location:
  • Phone: 951-737-8141
  • Fax: 657-215-4553
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA87020
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA87020
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: