Individual
MRS. CHRISTINA MARION LAZDOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
801 MASSACHUSETTS AVE., CROSSTOWN BLDG FL 7, BOSTON, MA 02118-4001
(617) 414-4841
(617) 414-6040
Mailing address
BMC PROVIDER ENROLLMENT OFFICE, 960 MASSACHUSETTS AVE,.2ND FLOOR, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2284710
MA
Other
Enumeration date
05/28/2013
Last updated
04/04/2024
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