Individual
JAMES LEE LAZZARI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4814 N SHERIDAN RD, PEORIA, IL 61614-5928
(309) 688-6752
(309) 688-7106
Mailing address
5408 W RACHAEL DR, PEORIA, IL 61615-3017
(309) 693-0861
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051037348
IL
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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