Individual
AMY L LAZZARINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1386 STATE ROUTE 5 WEST SUITE 203, CHITTENANGO, NY 13037
(315) 741-5774
Mailing address
4926 TANGLEWOOD LANE, MANLIUS, NY 13104
(153) 727-1846
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0101261421
VA
207RG0100X
Gastroenterology Physician
Primary
2075561
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02527195
—
NY
Enumeration date
01/25/2006
Last updated
12/27/2018
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