Individual
DIANA LAZERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
601 BOUND BROOK RD, MIDDLESEX, NJ 08846-2100
(732) 968-4422
(732) 968-3671
Mailing address
185 GOLDMINE LN, OLD BRIDGE, NJ 08857-3329
(732) 416-8514
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA01111900
NJ
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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