Lazare Shadzeka
Lazare Shadzeka is a Nurse Practitioner in Largo, Maryland. Qualified in 2019, 7 years ago. Practices with Innovative Healthcare Training, Inc, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia and Maryland.
- Years since qualifying
- 7
- Licensed in
- DC, MD
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
10530 Campus Way S # 1068Largo, MD 20774-1309
Phone: (240) 305-5298
Fax: (202) 953-6719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence RN1033678 (DC) |
|---|---|
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence R207679 (MD) |
Record details
| NPI number | 1760015010 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 14, 2020 |
| Last updated in NPPES | September 9, 2024 |
| Certification date | September 9, 2024 |
| Mailing address | 49b Joyceton Ter, Upper Marlboro, MD 20774-1341 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Innovative Healthcare Training, Inc. — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |
Other providers in Largo
-
Meldic Healthcare Inc
1401 Mercantile Ln Ste 481, Largo, MD 20774-4323 · (301) 437-6531
-
Tochi Nwani, PMHNP-BC
1401 Mercantile Ln Ste 321, Largo, MD 20774-4330 · (240) 528-1680
-
Chinyere Lois Otuya, NP
1300 Mercantile Ln Ste 100A, Largo, MD 20774-5383 · (240) 906-2723
-
Ernell Refuge, PMHNP
9500 Medical Center Dr Ste 432, Largo, MD 20774-3716 · (504) 390-6101