Individual
JENNIFER LAZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1022B N MAIN ST, BUTLER, PA 16001
(724) 284-4185
Mailing address
1022B N MAIN ST, BUTLER, PA 16001
(724) 284-4185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA001718L
PA
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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