Provider Demographics
NPI:1538244041
Name:LAZARUS, RYAN DAVID (DC)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:DAVID
Last Name:LAZARUS
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 RAILROAD AVE STE A
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-3878
Mailing Address - Country:US
Mailing Address - Phone:925-389-3936
Mailing Address - Fax:
Practice Address - Street 1:1734 JEFFERSON ST
Practice Address - Street 2:SUITE A
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-1732
Practice Address - Country:US
Practice Address - Phone:707-224-2283
Practice Address - Fax:707-224-2283
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-29628111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor