Individual
MRS. CARLA MARIA MILAGROS LAZON EGUSQUIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
9 PARKLAND AVE, LARCHMONT, NY 10538-3414
(347) 806-4632
Mailing address
9 PARKLAND AVE, LARCHMONT, NY 10538-3414
(347) 806-4632
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016526
NY
Other
Enumeration date
10/21/2008
Last updated
11/17/2011
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