Individual
EILEEN LAZECKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2800 ASHTON DR, WILMINGTON, NC 28412-2575
(910) 794-8895
Mailing address
527 COMMONS WAY, WILMINGTON, NC 28409-9189
(815) 715-3733
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05397
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063801793
—
NC
Enumeration date
01/19/2015
Last updated
08/19/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us