Provider Demographics
NPI:1447843792
Name:LAZAR, DANIELLE ANTONIA
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ANTONIA
Last Name:LAZAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6480 STATE RD APT F3
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-4165
Mailing Address - Country:US
Mailing Address - Phone:216-200-3220
Mailing Address - Fax:
Practice Address - Street 1:6480 STATE RD APT F3
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-4165
Practice Address - Country:US
Practice Address - Phone:216-200-3220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.316461163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency