Healthcare Provider Details

I. General information

NPI: 1538358106
Provider Name (Legal Business Name): BRITTNEY PERRYN LAZAR M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2007
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 HANOVER ST SUITE 2
LEBANON NH
03766-1312
US

IV. Provider business mailing address

18 GINN RD
WINCHESTER MA
01890-2607
US

V. Phone/Fax

Practice location:
  • Phone: 603-448-0126
  • Fax:
Mailing address:
  • Phone: 774-239-0874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: