Provider Demographics
NPI:1538345228
Name:LAZUR, RICHARD FRANCIS (PSYD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:FRANCIS
Last Name:LAZUR
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6828 LOWELL CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99502-1849
Mailing Address - Country:US
Mailing Address - Phone:907-248-3450
Mailing Address - Fax:907-562-1931
Practice Address - Street 1:101 E 9TH AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-3618
Practice Address - Country:US
Practice Address - Phone:907-562-1933
Practice Address - Fax:907-562-1931
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-13
Last Update Date:2008-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKPSY 277103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist