Individual
DR. JOHN R. LAZZAROTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
900 E 162ND ST, SOUTH HOLLAND, IL 60473-2471
(708) 339-9030
(708) 339-9088
Mailing address
900 E 162ND ST, SOUTH HOLLAND, IL 60473-2471
(708) 339-9030
(708) 339-9088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1916321
IL
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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