Individual
ALEXA LAZARUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 SERIO BLVD, FERRIDAY, LA 71334-2013
(318) 757-4050
Mailing address
125 LOWER WOODVILLE RD # APTD131, NATCHEZ, MS 39120-4453
(601) 870-1610
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7725
LA
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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