Individual
JESSIE ERIK LAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 FEMRITE DR, MONONA, WI 53716-3798
(608) 222-7311
Mailing address
300 FEMRITE DR, MONONA, WI 53716-3798
(608) 222-7311
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
552064
WI
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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