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1871552158 NPI number — ANGELINE ABRAHAM LAZARUS MD

NPI Number: 1871552158
Health Care Provider/Practitioner: ANGELINE ABRAHAM LAZARUS MD

Information about “1871552158” NPI (ANGELINE ABRAHAM LAZARUS MD) exists in 1871552158 in HTML format HTML  |  1871552158 in plain Text format TXT  |  1871552158 in PDF (Portable Document Format) PDF  |  1871552158 in an XML format XML  formats.

NPI Number : 1871552158 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871552158",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LAZARUS",
    "FirstName": "ANGELINE",
    "MiddleName": "ABRAHAM",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NITHIYANANDAN",
    "OtherFirstName": "ANGELINE",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "13207 VALLEY DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCKVILLE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20850-3626",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-424-5752",
    "MailingAddressFaxNumber": "301-319-8751",
    "FirstLinePracticeLocationAddress": "8901 WISCONSIN AVENUE",
    "SecondLinePracticeLocationAddress": "NATIONAL NAVAL MEDICAL CENTER",
    "PracticeLocationAddressCityName": "BETHESDA",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20889-5600",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-295-4218",
    "PracticeLocationAddressFaxNumber": "301-319-8751",
    "EnumerationDate": "03/23/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RP1001X",
        "TaxonomyName": "Pulmonary Disease Physician",
        "LicenseNumber": "D0062654",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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