Individual
LAURA FANTAZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT-CPFT
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4870
(215) 955-8105
Mailing address
111 S 11TH ST, PHILADELPHIA, PA 19107-4870
(215) 955-8105
Taxonomy
Speciality
Code
Description
License number
State
2279P1006X
Pulmonary Function Technologist Registered Respiratory Therapist
Primary
YO000148L
PA
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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