Individual
DR. ANDREA MARIE LAZZARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
12000 THREE CHOPT RD, HENRICO, VA 23233-1134
(804) 364-0830
Mailing address
2165 KELLY RIDGE RD, HENRICO, VA 23233-6908
(804) 360-8053
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202000426
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2202000426
BOARD OF AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY
VA
Enumeration date
08/29/2017
Last updated
06/16/2018
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