Organization
AESTIQUE PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE A LAZZARO MD (PRESIDENT)
(724) 309-6555
Entity
Organization
Contact information
Practice address
161 AESTHETIC WAY, GREENSBURG, PA 15601-9500
(724) 832-7555
(724) 832-7566
Mailing address
161 AESTHETIC WAY, GREENSBURG, PA 15601
(724) 832-7555
(724) 832-7566
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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