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Michaela Jade Lazarus
Mental Health Clinic/Center (Including Community Mental Health Center) in Sapulpa, Oklahoma
NPI 1811749419

Michaela Jade Lazarus is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Sapulpa, OK and is specialized in Mental Health (Including Community Mental Health Center). Michaela Jade Lazarus practices in Sapulpa, OK. The NPI Number for Michaela Jade Lazarus is 1811749419 and holds a License No. (Oklahoma).

The current practice location address for Michaela Jade Lazarus is 23 E Ross Ave, Sapulpa, OK and can be reached out via phone at 918-227-2016.

Location: 23 E Ross Ave, Sapulpa, OK, 74066-6423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811749419
Provider Name
Michaela Jade Lazarus
Credential
Provider Entity Type
Individual
Gender
Female
Address
23 E Ross Ave, Sapulpa, OK, 74066-6423
Phone Number
918-227-2016
Fax Number
Provider Enumeration Date
04/05/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
23 E Ross Ave
City
Sapulpa
State
Oklahoma
Zip
74066-6423
Phone Number
918-227-2016
Fax Number
person
Provider Business Mailing Address Details
Address
23 E Ross Ave
City
Sapulpa
State
Oklahoma
Zip
74066-6423
Phone Number
918-227-2016
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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