Individual
MRS. LORRAINE ELIZABETH FAZEKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
400 GUY RD, CLAYTON, NC 27520-7205
(919) 553-8185
(919) 553-0187
Mailing address
400 GUY RD, CLAYTON, NC 27520-7205
(919) 553-8185
(919) 553-0187
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1351
NC
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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