Individual
MRS. DEYON M LAZARUS WIKNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 TROY ST, WEST HARTFORD, CT 06119-1757
(860) 794-4534
Mailing address
11 TROY ST, WEST HARTFORD, CT 06119-1757
(860) 794-4534
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/13/2022
Last updated
03/13/2022
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