Healthcare Provider Details

I. General information

NPI: 1700032133
Provider Name (Legal Business Name): RACHEL SUTTON LAZARO AU.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2008
Last Update Date: 08/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 K M WICKER MEMORIAL DR
SANFORD NC
27330-5070
US

IV. Provider business mailing address

115 PARKWAY OFFICE CT STE 100
CARY NC
27518-7431
US

V. Phone/Fax

Practice location:
  • Phone: 919-774-6829
  • Fax: 919-775-2327
Mailing address:
  • Phone: 919-851-3803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: