Individual
LAZONIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13310 NW 151ST PL, ALACHUA, FL 32615-5890
(352) 256-2709
Mailing address
PO BOX 966, ALACHUA, FL 32616-0966
(352) 256-2709
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
22-0207
FL
376K00000X
Nurse's Aide
CNA188133
FL
Other
Enumeration date
01/03/2013
Last updated
04/19/2022
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