Individual
MAURA LAZZARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP, PC
Contact information
Practice address
156 RT. 15 NORTH, LAFAYETTE, NJ 07848
(973) 862-6377
Mailing address
3 HUNTERS LN, SPARTA, NJ 07871-2308
(201) 919-5956
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00476400
NJ
Other
Enumeration date
09/24/2021
Last updated
09/13/2022
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