Individual
NICOLETTE LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
101 S YUCCA ST, CHANDLER, AZ 85224-8149
(480) 899-7650
Mailing address
2045 E BOSTON ST APT 2108, GILBERT, AZ 85295-4101
(630) 605-1501
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008720
AZ
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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