Individual
SHANA LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1600 PARKER AVE, 11A, FORT LEE, NJ 07024-7050
(201) 592-8721
Mailing address
1600 PARKER AVE, 11A, FORT LEE, NJ 07024-7050
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
009978-1
NY
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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