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NPI Code Detail

MEDICARE: AMANDA HEIDI LAZOS

MEDICARE: AMANDA HEIDI LAZOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational NurseVN746194CA

General Provider Information

NPI Number : 1396699674
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA HEIDI LAZOS
Provider Business Mailing Address
First Line : 7885 ANNANDALE AVE
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-1419
Country : US
Telephone Number : 760-329-2924
Fax Number :
Provider Business Practice Location Address
First Line : 7885 ANNANDALE AVE
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-1419
Country : US
Telephone Number : 760-329-2924
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/24/2026

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Directions to “ AMANDA HEIDI LAZOS ” Practice Location

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