Individual
KATHLEEN LAZZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
2401 HARTMAN ST, RICHMOND, VA 23223-2458
(804) 343-6500
Mailing address
715 S NANSEMOND ST, RICHMOND, VA 23221-3647
(914) 584-7349
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0813000660
—
VA
Enumeration date
02/08/2018
Last updated
02/08/2018
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