Individual
LAZARIA GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2942 HAIG ST, GREENSBORO, NC 27405-3391
(336) 314-2424
Mailing address
2942 HAIG ST, GREENSBORO, NC 27405-3391
(336) 314-2424
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16756
NC
Other
Enumeration date
02/08/2022
Last updated
10/11/2024
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