Provider Demographics
NPI:1063735132
Name:LAZUR & LAZUR, LTD.
Entity type:Organization
Organization Name:LAZUR & LAZUR, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:LAZUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-562-1933
Mailing Address - Street 1:6828 LOWELL CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99502-1849
Mailing Address - Country:US
Mailing Address - Phone:907-562-1933
Mailing Address - Fax:907-562-1931
Practice Address - Street 1:101 E 9TH AVE STE 1A
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-3651
Practice Address - Country:US
Practice Address - Phone:907-562-1933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKPSY 277103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty