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NPI Code Detail

MEDICARE: CHRISTINE LAZARO DPT

MEDICARE: CHRISTINE LAZARO DPT
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
1225100000XPhysical Therapist297883CA

General Provider Information

NPI Number : 1700403482
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE LAZARO DPT
Provider Business Mailing Address
First Line : 56 SCOTTS VLY
Second Line :
City : HERCULES
State : CA
Zip : 94547-3960
Country : US
Telephone Number : 510-813-0920
Fax Number :
Provider Business Practice Location Address
First Line : 445 MAPLE ST
Second Line :
City : PALO ALTO
State : CA
Zip : 94301-2219
Country : US
Telephone Number : 866-839-6979
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2020
Last Update Date : 06/29/2020

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Directions to “ CHRISTINE LAZARO DPT” Practice Location

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