Search › Georgia › 103T00000X
Gershom Lazarus, PHD
NPI 1558952846 · on the registry since 2021 · sole proprietor
Practice
- Address
- 36 Eagle Row
Atlanta, GA 30322 - Phone
- (910) 616-9657
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103G00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia