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NPI Code Detail

MEDICARE: NICHOLAS JOHN LAZARO

MEDICARE:   NICHOLAS JOHN LAZARO
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1154023950
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS JOHN LAZARO
Provider Business Mailing Address
First Line : 2974 VALLEYVIEW DR # 2974
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-2074
Country : US
Telephone Number : 614-772-1872
Fax Number :
Provider Business Practice Location Address
First Line : 2974 VALLEYVIEW DR # 2974
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-2074
Country : US
Telephone Number : 614-772-1872
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2023
Last Update Date : 03/17/2023

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Directions to “ NICHOLAS JOHN LAZARO ” Practice Location

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