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NPI Code Detail

MEDICARE: MARIANA LAZARIN LCSW

MEDICARE:   MARIANA  LAZARIN  LCSW
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
11041C0700XClinical Social Worker0904014704VA

General Provider Information

NPI Number : 1760182760
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANA LAZARIN LCSW
Provider Business Mailing Address
First Line : 1433 W 37TH ST
Second Line :
City : NORFOLK
State : VA
Zip : 23508-2227
Country : US
Telephone Number : 175-769-0575
Fax Number :
Provider Business Practice Location Address
First Line : 1433 W 37TH ST
Second Line :
City : NORFOLK
State : VA
Zip : 23508-2227
Country : US
Telephone Number : 757-690-5750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2023
Last Update Date : 03/08/2023

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Directions to “ MARIANA LAZARIN LCSW” Practice Location

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