Individual
MARIA LAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-BC
Contact information
Practice address
816 KEARNY AVE, KEARNY, NJ 07032-3148
(201) 991-4544
Mailing address
608 HERO WAY, BELLEVILLE, NJ 07109-5337
(973) 641-7022
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00490000
NJ
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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