Individual
ANDREA LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4820 W NEWBERRY RD, GAINESVILLE, FL 32607-2249
(352) 373-2116
Mailing address
4820 W NEWBERRY RD, GAINESVILLE, FL 32607-2249
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 29712
FL
Other
Enumeration date
11/08/2014
Last updated
11/08/2014
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