MEDICARE: DEBORAH LAZARSKI P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	0819	NV

General Provider Information

NPI Number	:	1255510343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH LAZARSKI P.T.

Provider Business Mailing Address
First Line	:	2920 N GREEN VALLEY PKWY
Second Line	:	SUITE 314
City	:	HENDERSON
State	:	NV
Zip	:	89014-0406
Country	:	US
Telephone Number	:	702-990-0936
Fax Number	:

Provider Business Practice Location Address
First Line	:	2920 N GREEN VALLEY PKWY
Second Line	:	SUITE 314
City	:	HENDERSON
State	:	NV
Zip	:	89014-0406
Country	:	US
Telephone Number	:	702-990-0936
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2007
Last Update Date	:	10/25/2007

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