Individual
JAMIE BOLTON LAZZERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
8107 LAKE PLEASANT DR, SPRINGFIELD, VA 22153-3008
(571) 409-9201
Mailing address
8107 LAKE PLEASANT DR, SPRINGFIELD, VA 22153-3008
(571) 409-9201
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019007367
VA
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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