Individual
MR. NICHOLAS TRIPP LAZURKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
(PA-C)
Contact information
Practice address
3085 HALLMARK CT STE 1, SAGINAW, MI 48603-6803
(989) 996-0566
Mailing address
3283 SCHUST RD APT 206, SAGINAW, MI 48603-8102
(810) 304-7879
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5601009533
MI
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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