Individual
MRS. LARA A. LAZEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
714 N LONGMORE ST, CHANDLER, AZ 85224-6912
(480) 290-2917
Mailing address
714 N LONGMORE ST, CHANDLER, AZ 85224-6912
(480) 290-2917
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5754
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
561995
—
AZ
Enumeration date
01/12/2009
Last updated
01/14/2010
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