Individual
LISA LASZCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 EDWARD DR, ROMEOVILLE, IL 60446-6507
(815) 556-2487
Mailing address
9023 LUNAR AVE, APT 204, ORLAND PARK, IL 60462-3329
(815) 277-7547
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006380
IL
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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