Provider Demographics
NPI:1922980085
Name:LAZARUS, NOLANDER JODEY
Entity type:Individual
Prefix:
First Name:NOLANDER
Middle Name:JODEY
Last Name:LAZARUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 BEDFORD ST STE 201
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-1907
Mailing Address - Country:US
Mailing Address - Phone:475-276-9990
Mailing Address - Fax:475-685-3294
Practice Address - Street 1:135 BEDFORD ST STE 201
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-1907
Practice Address - Country:US
Practice Address - Phone:475-276-9990
Practice Address - Fax:475-685-3294
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide