Denice Lazzara

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

60700891 Issued in WA

Practice address

1320 NE 4TH Ave
Camas, WA 98607-1432

Phone

(503) 415-0782

NPI assigned

Nov 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1659036259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 NE 4TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986071432",
            "telephone_number": "503-415-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 NE 4TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986071432",
            "telephone_number": "503-415-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZZARA",
        "first_name": "DENICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "WA",
            "license": "60700891",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "WA",
            "license": "60039723",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING ASSISTANT CERTIFICATION",
            "identifier": "60039723",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY TECHNICIAN",
            "identifier": "60700891",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Leigh Latendresse, RN
• Leticia Lavelle
• Kimberly Lawrence
• Melissa Laws, LAC
• Maria C Layne, MSW, CMI, CSSI, CT
• Huong T Le, DMD
• Minh-Hao Le, PA-C
• Jung Lee
• Tara Lynn Lepro, LMT
• Scott Robert Lewis, O.D.

• Pharmacy Technician in Camas, WA
• Providers in Camas, WA by specialty
• Pharmacy Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.