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General NPI Number Information
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NPI Number | 1902965122
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Entity Type | Individual
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Provider Name | LYNDA B LAZAR APRN
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Gender | Female
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 811 N HARRISVILLE RD
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City | HARRISVILLE
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State | UT
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Zip | 84404-3537
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Country | US
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Telephone | 801-399-1818
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Fax | 801-782-8412
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Provider Business Mailing Address
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Address Line | 811 N HARRISVILLE RD
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City | HARRISVILLE
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State | UT
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Zip | 84404-3537
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Country | US
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Telephone | 801-399-1818
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Fax | 801-782-8412
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP12270
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 7637067-4405
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License Number State | UT
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