Individual
AGNIESZKA LAZARSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2922 E MAPLE RD, TROY, MI 48083-4495
(248) 524-4104
Mailing address
4616 TIPTON DR, TROY, MI 48098-4469
(248) 267-0367
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004964
MI
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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