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Chelsea Charity Lazaro, NP

Nurse Practitioner in Canton, MS. Individual provider (NPI-1).

NPI number1336837814
StatusActive
Last updated in NPPESApr 24, 2023

Details

NPI
1336837814
Entity type
Individual (NPI-1)
Name
Chelsea Charity Lazaro
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Apr 24, 2023
Certification date
Apr 24, 2023
Last updated
Apr 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner905823MSYes

Practice location

300 Nissan Dr
Canton, MS 39046-8562

Phone 601-855-6010

Mailing address

168 Oak Grove Dr
Brandon, MS 39047-6805

Phone 601-572-1893

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