Individual
ELIZABETH LAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1416 ELM ST, PEEKSKILL, NY 10566-4802
(914) 400-8649
Mailing address
1416 ELM ST, PEEKSKILL, NY 10566-4802
(914) 400-8649
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031496-1
NY
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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