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LAZINA JOHANNAH THOMAS BA

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1174825210

Individual Registrant:
 LAZINA JOHANNAH THOMAS BA
Gender: F
Sole Proprietor

Location and contact information for practice:
315 CAROL ST  MASCOTTE, FL 34753-9253 US
Tel: 352-429-2551  Fax: --

Contact information for business:
315 CAROL ST  MASCOTTE, FL 34753-9253 US
Tel: 352-429-2551  Fax: --

Registration Information:
NPI: 1174825210
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
692220198FL05
692220196FL05




HEALTH CARE JOBS FL - Page 1



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