JENNY LYNN LAZARUS (NPI# 1902167901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902167901 |
| Entity Type | Individual |
| Full Name | JENNY LYNN LAZARUS |
| Credential | M.D. |
| Practice Address |
1133 W Sycamore St Willows CA 95988-2601 |
| Practice Telephone | 5309341831 |
| Practice Fax Number | 5309341862 |
| Mailing Telephone | 5309341831 |
| Mailing Fax Number | 5309341862 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2020-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | BP10043378 | TX | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | A168579 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 4301108934 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2380 Twin Lakes Dr, Ypsilanti, MI 481971491 | 5303833035 |
| Street Address |
1133 W SYCAMORE ST |
| City | WILLOWS |
| State | CA |
| Zip Code | 95988-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922085877 | Jacqueline Rachel Casey | Physician Assistant | 1133 W Sycamore St, Willows, CA 95988-2601 | 2005-12-30 |
| 1023622396 | Brett Dennis Brown | Physician Assistant | 1133 W Sycamore St, Willows, CA 95988-2601 | 2020-09-03 |
| 1366052219 | Chanele Dresser | Physical Therapy Assistant | 1133 W Sycamore St, Willows, CA 95988-2601 | 2020-08-05 |
| 1306481742 | Glenn Medical Center, LLC | General Acute Care Hospital | 1133 W Sycamore St, Willows, CA 95988-2601 | 2019-11-08 |
| 1144865577 | Glenn Medical Center, LLC | General Acute Care Hospital | 1133 W Sycamore St, Willows, CA 95988-2601 | 2019-11-08 |
| 1063054831 | Glenn Medical Center, LLC | Clinic/Center | 1133 W Sycamore St, Willows, CA 95988-2601 | 2019-10-14 |
| 1982169348 | Cheryl Ann Huffman | Physical Therapist | 1133 W Sycamore St, Willows, CA 95988-2601 | 2019-02-09 |
| 1477017382 | Glenn Medical Center, Inc | General Acute Care Hospital | 1133 W Sycamore St, Willows, CA 95988-2601 | 2019-01-24 |
| 1679045454 | Jason Mower | Physician Assistant | 1133 W Sycamore St, Willows, CA 95988-2601 | 2018-12-18 |
| 1306347547 | John Michael Christopher | Nurse Practitioner | 1133 W Sycamore St, Willows, CA 95988-2601 | 2018-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457415192 | Eric D Wunsch | Chiropractor | 414 N. Plumas Street, Willows, CA 95988 | 2006-12-20 |
| 1255438370 | Barbara Lynne Ackerman | Surgery | 130 Enright Ave, Willows, CA 95988 | 2006-09-20 |
| 1447282868 | Michell Danforth Knight | Physician Assistant | 460 W Sycamore St, Willows, CA 95988 | 2006-07-07 |
| 1770528457 | Marc Steven Bracy | Emergency Medicine | 1133 W Sycamore Street, Willows, CA 95988 | 2006-06-18 |
| 1619949138 | John Richard Pierson | Dentist | 249 North Villa, Willows, CA 95988 | 2006-02-07 |
| 1619379922 | Gillian J Barbaria | Physical Therapist | 116 S Lassen St, Willows, CA 95988 | 2014-09-17 |
| 1558547828 | John Pierson Dds Inc | Dentist | 249 North Villa, Willows, CA 95988 | 2008-01-16 |
| 1891837449 | Zsolt H Kissevich | Dentist | 207 N Butte St, Willows, CA 95988 | 2007-02-12 |
| 1609812650 | Gary M Carson | Emergency Medicine | 1133 W Sycamore Street, Willows, CA 95988 | 2006-06-20 |
| 1497791404 | Everett Patrick Shareck Jr. | Emergency Medicine | 1133 W Sycamore Street, Willows, CA 95988 | 2006-06-20 |
| Find all providers in zip 95988 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.