Active NPI
Josephine Bonasso Lazarou, PHAMD
- Pharmacist
- Dexter, MI
National Provider Identifier
1376816710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302410778
- Practice address
- 2820 Baker Rd
Dexter, MI 48130-1181 - Phone
- (734) 426-1600
- NPI assigned
- Feb 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302410778 | MI | Primary |
Addresses
Primary practice location
2820 Baker Rd
Dexter, MI 48130-1181
Mailing address
9629 Daisy LN
Dexter, MI 48130-9536
Phone (734) 395-2555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302410778 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1376816710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9629 DAISY LN",
"city": "DEXTER",
"state": "MI",
"postal_code": "481309536",
"telephone_number": "734-395-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 BAKER RD",
"city": "DEXTER",
"state": "MI",
"postal_code": "481301181",
"telephone_number": "734-426-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZAROU",
"first_name": "JOSEPHINE",
"middle_name": "BONASSO",
"name_prefix": "Dr.",
"credential": "PHAMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-15",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302410778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dexter, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.