Healthcare Provider Details

I. General information

NPI: 1972873479
Provider Name (Legal Business Name): ARTHUR LAZARUS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2011
Last Update Date: 07/06/2025
Certification Date: 07/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 LAGGAN LN
INDIAN TRAIL NC
28079-5840
US

IV. Provider business mailing address

12 TRIPLE H DR
ASHEVILLE NC
28806-6107
US

V. Phone/Fax

Practice location:
  • Phone: 484-678-1036
  • Fax:
Mailing address:
  • Phone: 484-678-1036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD025623E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME123745
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD-23125
License Number StateHI
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2022-02511
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: