Individual
LIANA I LAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2005 TECHNOLOGY PKWY, SUITE 400, MECHANICSBURG, PA 17050-9413
(717) 791-2520
(717) 703-0061
Mailing address
307 S FRONT ST, HARRISBURG, PA 17104-1621
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD069690L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018446670003
—
PA
Enumeration date
04/19/2006
Last updated
12/19/2013
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