Individual
JOANNE LAZZARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 E MAIN ST, HUNTINGTON, NY 11743-2939
(631) 549-3327
Mailing address
5 CEDAR CT, COPIAGUE, NY 11726-4733
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305490-1
NY
Other
Enumeration date
12/16/2010
Last updated
01/25/2016
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