| Doctor Name: | CAROLYN A LAZAROWICZ |
| NPI Number: | 1508986613 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 4704184286 |
| Business Practice Address: | 2480 Sloan Rd Birch Run, MI - 484158934 |
| Business Phone Number: | 9897469633 |
| Business Fax Number: | 9897469634 |
| Mailing Address: | 505 Patterson Ave, BAY CITY |
| State: | MI |
| Postal Code: | 487064192 |
| Phone Number: | 9897469633 |
| Fax Number: | 9897469634 |
| NPI Enumeration Date: | 03/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 4704184286 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |