Individual
DR. BRIAN RICHARD LAZZARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
325 S WESTERN AVE, PARK RIDGE, IL 60068-3820
(847) 712-1445
Mailing address
325 S WESTERN AVE, PARK RIDGE, IL 60068-3820
(847) 712-1445
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009356
IL
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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