Individual
MS. CYNTHIA LYNN LAZZARETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
145 INDIAN DIVIDE ROAD, CAPITAN, NM 88316-0813
(575) 354-0686
Mailing address
PO BOX 813, CAPITAN, NM 88316-0813
(575) 354-0686
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
4903
NM
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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