Individual
LISA LYNN LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
718 HIGHRIDGE AVE, GREENCASTLE, IN 46135-1402
(765) 653-0061
Mailing address
718 HIGHRIDGE AVE, GREENCASTLE, IN 46135-1402
(765) 653-0061
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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