MEDICARE: MRS. CHRISTINE ELLEN LAZARONY RPH

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	183500000X	Pharmacist	39668	NY

General Provider Information

NPI Number	:	1518917616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINE ELLEN LAZARONY RPH

Provider Business Mailing Address
First Line	:	6445 ALTEES DR
Second Line	:
City	:	LIVONIA
State	:	NY
Zip	:	14487-9578
Country	:	US
Telephone Number	:	585-346-9847
Fax Number	:

Provider Business Practice Location Address
First Line	:	5975 BIG TREE RD
Second Line	:	LIVONIA LAKEVILLE PHARMACY
City	:	LAKEVILLE
State	:	NY
Zip	:	14480-9722
Country	:	US
Telephone Number	:	585-346-5615
Fax Number	:	585-346-2212

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	07/08/2007

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