Individual
KRISTINA MERRITT LAZICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1000 HILLTOP CIR, RAC 221, BALTIMORE, MD 21250-0001
(410) 455-3921
(410) 455-1191
Mailing address
1000 HILLTOP CIR, RAC 221, BALTIMORE, MD 21250-0001
(410) 455-3921
(410) 455-1191
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A00634
MD
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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