Individual
MR. ARTURO LAFORTEZA LAZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
101 N ALPINE RD, ROCKFORD, IL 61107-4901
(779) 423-1700
Mailing address
7290 SUE LN APT. 4, LOVES PARK, IL 61111
(779) 423-1700
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070008793
IL
Other
Enumeration date
11/11/2011
Last updated
11/11/2011
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