Individual
MS. ANNA LAZIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
235 HOPE RD, TINTON FALLS, NJ 07724-3066
(732) 542-4777
Mailing address
36 SAGE RD, TOMS RIVER, NJ 08753-2644
(732) 542-4777
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00089300
NJ
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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