Individual
ANDREA LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
540 W BROADWAY, GLENDALE, CA 91204-1120
(916) 390-2265
Mailing address
1734 DON CARLOS AVE, GLENDALE, CA 91208-2218
(916) 390-2265
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
14111
CA
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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