Individual
JUSTINE LAZATIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
940 BELMONT STREET, PSYCHIATRY 116A7, BROCKTON, MA 02301
(774) 826-2458
(774) 826-1859
Mailing address
1045 BASELINE RD, GRAND ISLAND, NY 14072-2511
(716) 868-0377
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1018234
MA
Other
Enumeration date
04/02/2020
Last updated
12/20/2024
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