Individual
KRISTEN LAZICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
907 S WASHINGTON AVE, PARK RIDGE, IL 60068-4810
(847) 338-6152
Mailing address
907 S WASHINGTON AVE, PARK RIDGE, IL 60068-4810
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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