Individual
NICOLE K LAZZARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8 FORRESTAL RD S STE 202, PRINCETON, NJ 08540-6658
(609) 799-6222
(609) 799-6555
Mailing address
8 FORRESTAL RD S STE 202, PRINCETON, NJ 08540-6658
(609) 799-6222
(609) 799-6555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
014733-1
NY
363AM0700X
Medical Physician Assistant
Primary
25MP00344000
NJ
Other
Enumeration date
05/24/2012
Last updated
03/07/2023
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