Individual
LAZERRIC ALLEN HARTZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2333 S 14TH AVE, BROADVIEW, IL 60155-4003
(708) 267-2133
Mailing address
2333 S 14TH AVE, BROADVIEW, IL 60155-4003
(708) 267-2133
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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