Individual
COURTNEY LAZARUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3583 BUNKER AVE, WANTAGH, NY 11793-3438
(516) 776-5741
Mailing address
3583 BUNKER AVE, WANTAGH, NY 11793-3438
(516) 776-5741
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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