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General NPI Number Information
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NPI Number | 1235004946
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Entity Type | Individual
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Provider Name | CHRISTIE ANN LAZETTE
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Gender | Female
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 6105 W ST JOE HWY STE 211
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City | LANSING
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State | MI
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Zip | 48917-4850
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Country | US
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Telephone | 888-619-9735
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Fax |
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Provider Business Mailing Address
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Address Line | 3674 OAKLEAF DR
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48324-2544
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number | 114466
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License Number State | MI
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