MEDICARE: JUNE LAZARUS DC

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
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1932790227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUNE LAZARUS DC

Provider Business Mailing Address
First Line	:	3300 BEE CAVES RD STE 610
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-6663
Country	:	US
Telephone Number	:	512-648-4483
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 BEE CAVES RD STE 610
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-6663
Country	:	US
Telephone Number	:	512-648-4483
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2021
Last Update Date	:	01/29/2021

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Directions to “ JUNE LAZARUS DC” Practice Location

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