Individual
KAITLYN LAZICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5005 ALLEN DR, BETHLEHEM, PA 18017-8223
(610) 837-8507
Mailing address
5005 ALLEN DR, BETHLEHEM, PA 18017-8223
(484) 892-1417
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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