Individual
MRS. KACEY ELIZABETH LAZZAROTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
23 W WEND ST, LEMONT, IL 60439-4492
(708) 601-6763
Mailing address
23 W WEND ST, LEMONT, IL 60439-4492
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056004624
IL
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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