Dr Kristie Lazzara, Dc

NPI 1003965914 - Chiropractor - 111N00000X

NPI Details
NPI 1003965914
Enumeration Date 01/09/2007
Last Updated 09/06/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KRISTIE R KRISTIE
Position OWNER DOCTOR
Phone (718) 885-7133
Fax
Practice Location
105 MACON AVE
STATEN ISLAND NY, 10312-2014, US
Phone (718) 885-7133
Fax
Business Location
105 MACON AVE
STATEN ISLAND NY, 10312-2014, US
Phone (718) 885-7133
Fax
Toxanomy
Taxonomy Code 111N00000X
License State New York
License Number 70011039
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According to our database, Dr Kristie Lazzara, Dc NPI is 1003965914, taxonomy code is 111N00000X and license number is 70011039, license state is located at New York. Dr Kristie Lazzara, Dc physically located at 105 Macon Ave, Staten Island NY, 10312-2014. NPI Number 1033115704 has the healthcare provider type.

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1003965914 NPI number is provided on an as is basis without warranty of any kind. 1003965914 is maintained by the National Plan & Provider Enumeration System. The contents of Dr Kristie Lazzara, Dc are for informational purposes only.