Individual
DR. KENYA A LAZOVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
542 ANDERSON AVE, CLIFFSIDE PARK, NJ 07010-1721
(201) 943-7977
(201) 945-4650
Mailing address
542 ANDERSON AVE, CLIFFSIDE PARK, NJ 07010-1721
(201) 943-7977
(201) 945-4650
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
25MD00317100
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00317100
NJ
Other
Enumeration date
05/23/2013
Last updated
03/07/2024
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