Individual
KATIE LAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2984 CHAPEL VALLEY RD APT 204, FITCHBURG, WI 53711-7413
(847) 814-1279
Mailing address
2984 CHAPEL VALLEY RD APT 204, FITCHBURG, WI 53711-7413
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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