Individual
IVANA LAZIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
130 HIDDEN OAKS DR, LADY LAKE, FL 32159-5150
(407) 969-5799
Mailing address
130 HIDDEN OAKS DR, LADY LAKE, FL 32159-5150
(407) 969-5799
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17094
FL
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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