| Outreach Psychiatric Associates, Llc | |
|
250 Constitution Blvd Ste 203 Lawrenceville GA 30046-8432 | |
| (770) 265-2772 | |
| (866) 876-7892 |
| Full Name | Outreach Psychiatric Associates, Llc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 250 Constitution Blvd, Lawrenceville, Georgia |
| Authorized Official Name and Position | Taren Lazzari (VICE PRESIDENT) |
| Authorized Official Contact | 7702652772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outreach Psychiatric Associates, Llc 250 Constitution Blvd Ste 203 Lawrenceville GA 30046-8432 Ph: (770) 265-2772 | Outreach Psychiatric Associates, Llc 250 Constitution Blvd Ste 203 Lawrenceville GA 30046-8432 Ph: (770) 265-2772 |
| NPI Number | 1821386855 |
|---|---|
| Provider Enumeration Date | 07/12/2011 |
| Last Update Date | 07/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821386855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Secondary |
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