Organization
VINCI DIAGNOSTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMENICO LAZZARO MD (PRESIDENT)
(219) 934-2085
Entity
Organization
Contact information
Practice address
701 SUPERIOR AVE, MUNSTER, IN 46321-4037
(219) 934-2085
Mailing address
PO BOX 957, SCHERERVILLE, IN 46375-0957
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/04/2006
Last updated
08/23/2007
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