Individual
MS. MICHELLE LAZOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(708) 935-4285
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(708) 935-4285
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003399
IL
Other
Enumeration date
02/03/2015
Last updated
02/18/2015
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