| Doctor Name: | MS. MOLLIE LOUISE BENNELL-LAZARUS |
| NPI Number: | 1831302686 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MOLLIE BENNELL-LAZAR |
| License Number: | PT13340 |
| Business Practice Address: | 3 Pursuit Aliso Viejo, CA - 926564213 |
| Business Phone Number: | 9493898549 |
| Business Fax Number: | 9493629083 |
| Mailing Address: | 2135 Via Teca, SAN CLEMENTE |
| State: | CA |
| Postal Code: | 926735649 |
| Phone Number: | 9493614726 |
| Fax Number: | 9494925608 |
| NPI Enumeration Date: | 05/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT13340 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |