Individual
DR. NICOLE LYNN LACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 HIGH ST, NUTLEY, NJ 07110-1132
(973) 879-3964
(973) 284-0269
Mailing address
777 PASSAIC AVE, STE 360, CLIFTON, NJ 07012-1800
(973) 284-0020
(973) 284-6310
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA08793500
NJ
Other
Enumeration date
05/15/2007
Last updated
11/14/2023
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