Individual
KRISTEN M LAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 BEVERLY RD, MASSAPEQUA, NY 11758-8062
(954) 383-7994
Mailing address
117 BEVERLY RD, MASSAPEQUA, NY 11758-8062
(954) 383-7994
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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