OrganizationActive
Outreach Psychiatric Associates, LLC
NPI 1821386855 · Geriatric Medicine (Family Medicine) Physician · Lawrenceville, GA
Provider details
- NPI number
- 1821386855
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Taren Lazzari, Vice President(770) 265-2772
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Geriatric Psychiatry Physician2084P0805X
Allopathic & Osteopathic Physicians
Practice location
250 Constitution Blvd
Ste 203
Lawrenceville, GA 30046-8432
Phone: (770) 265-2772
Fax: (866) 876-7892
Approximate (ZIP-level) locationGet directions
Mailing address
250 Constitution Blvd
Lawrenceville, GA 30046-8432
Registry dates
- Enumerated
- 2011-07-12
- Last updated
- 2011-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.