| Catherine Lazar Llc | |
|
20525 Center Ridge Rd Ste 303 Rocky River OH 44116-3424 | |
| (440) 561-0111 | |
| (216) 228-5818 |
| Full Name | Catherine Lazar Llc |
|---|---|
| Speciality | Social Worker |
| Location | 20525 Center Ridge Rd Ste 303, Rocky River, Ohio |
| Authorized Official Name and Position | Catherine L Lazar (SOLE OWNER/PROVIDER) |
| Authorized Official Contact | 4405610111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine Lazar Llc 4200 Brainard Rd Chagrin Falls OH 44022-1406 Ph: (440) 561-0111 | Catherine Lazar Llc 20525 Center Ridge Rd Ste 303 Rocky River OH 44116-3424 Ph: (440) 561-0111 |
| NPI Number | 1104435197 |
|---|---|
| Provider Enumeration Date | 07/27/2020 |
| Last Update Date | 07/27/2020 |
| Certification Date | 07/27/2020 |
| Medicare PECOS PAC ID | 7911322557 |
|---|---|
| Medicare Enrollment ID | O20200730000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104435197 | NPI | - | NPPES |
| 0293309 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Catherine L Lazar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023523883 PECOS PAC ID: 0749518405 Enrollment ID: I20190820002354 |
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