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NPI 1316335078 · Child & Family Psychiatric/Mental Health Clinical Nurse Specialist · Lawrenceville, GA
Provider details
- NPI number
- 1316335078
- Entity type
- Organization
- Primary specialty
- Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Taren Lazzari, President(770) 449-2151
- License
- 028884 (GA)
Specialties & taxonomies
- Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistPrimary364SP0810XLicense RN124271 (GA)
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Practice location
230 S Culver St
Lawrenceville, GA 30046-4806
Phone: (770) 449-2151
Approximate (ZIP-level) locationGet directions
Mailing address
230 S Culver St
Lawrenceville, GA 30046-4806
Registry dates
- Enumerated
- 2015-01-05
- Last updated
- 2015-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.