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Individual

MRS. ALICIA T LAZZARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
3207 FRANCIS LEWIS BLVD, FLUSHING, NY 11358-1922
(718) 224-2030
(718) 281-2617
Mailing address
3207 FRANCIS LEWIS BLVD, FLUSHING, NY 11358-1922
(718) 224-2030
(718) 281-2617

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
25MD00241600
NJ
213E00000X
Podiatrist
Primary
N005348
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01979079
NY
Enumeration date
01/16/2006
Last updated
01/09/2009
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