Individual
JOHN MICHAEL LAZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
800 GRAND CENTRAL MALL STE 1, VIENNA, WV 26105-4100
(304) 424-4419
(304) 424-4422
Mailing address
333 EASTVIEW DR, PARKERSBURG, WV 26104-8433
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1081
WV
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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