Individual ProviderWilfrid LazarreCounselorBehavioral Health & Social Service ProvidersPractice Address2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982-8110(772) 489-4726PECOS EnrollmentBased on the most recent information from CMS, provider Wilfrid Lazarre does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1730687955Provider TypeIndividualFull NameLazarre, WilfridTitleMr.CredentialMAGenderMaleSole ProprietorNoEnumeration Date1/23/2018Last Updated1/23/2018Contact InformationPractice LocationPractice Address2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982-8110Phone(772) 489-4726FaxUnlisted FaxMailing LocationMailing Address2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982-8110Phone(772) 489-4726FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseIMH4013Florida