Individual
DANIELLE LAUZZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
21 WATERVILLE RD, AVON, CT 06001-2097
(814) 574-8855
Mailing address
64 AVONWOOD RD, APT. A12, AVON, CT 06001-2050
(814) 574-8855
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002543
CT
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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