Individual
SOPHIA LAZZARONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E OGDEN AVE STE 101, HINSDALE, IL 60521-3892
(708) 434-4090
Mailing address
425 EDGEWOOD PL APT 2, RIVER FOREST, IL 60305-1667
(262) 581-6215
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.010980
IL
Other
Enumeration date
12/11/2024
Last updated
02/25/2025
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