Individual
MRS. MELISSA LYNN LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
380 DEMOTT LN, SOMERSET, NJ 08873-2762
(732) 873-2000
Mailing address
78 SOUTH ST, MILLTOWN, NJ 08850-1538
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00354800
NJ
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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