Individual
MS. FELICE BAMBI LAZARUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PT
Contact information
Practice address
259 ELM ST, SUITE 300, SOMERVILLE, MA 02144-2950
(617) 591-9200
(617) 591-8100
Mailing address
259 ELM ST, SUITE 300, SOMERVILLE, MA 02144-2950
(617) 591-9200
(617) 591-8100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5347
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y66270
BLUE CROSS
MA
Enumeration date
11/28/2006
Last updated
07/08/2007
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