Suzanne E Lazaro, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

398057 Issued in OR

Practice address

6750 NW Burgundy Dr
Corvallis, OR 97330-9251

Phone

(541) 507-3635

NPI assigned

Mar 10, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1336462951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 NW BURGUNDY DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309251",
            "telephone_number": "541-507-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 NW BURGUNDY DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309251",
            "telephone_number": "541-507-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARO",
        "first_name": "SUZANNE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "OR",
            "license": "398057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynn Lawson, MA CADC III
• Mohammed Fathi Layas, M.B.CH.B
• Misti Leeann Laycock-Wharton, RN, BSN
• Tanner Layman
• Vanessa Rose Layoun, M.D., M.P.H.
• Elizabeth Lazaroff, M.D.
• Lazarus 3D, Inc.
• Anna Thanh Le
• Chinh T. Le, M.D.
• Jessica Le, DO

• Gerontology Occupational Therapist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Gerontology Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.