Individual
MS. SUZANNE E LAZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6750 NW BURGUNDY DR, CORVALLIS, OR 97330-9251
(541) 507-3635
Mailing address
6750 NW BURGUNDY DR, CORVALLIS, OR 97330-9251
(541) 507-3635
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
398057
OR
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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