Individual
TRACY ANN LAZORICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
503 MORGANTOWN AVE STE 120, FAIRMONT, WV 26554-4384
(304) 363-7375
(304) 471-2488
Mailing address
703 BURT ST, MANNINGTON, WV 26582-1207
(681) 332-0378
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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