Individual
DAVID LAZZARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L. AC.
Contact information
Practice address
115 N 1ST ST, DEKALB, IL 60115-3201
(630) 888-2838
Mailing address
804 E LINCOLN HWY, DEKALB, IL 60115-3940
(630) 888-2838
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001086
IL
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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