Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NP0017X | Pediatric Chiropractor | 2251095 | NH |
NPI | 1144479510 |
---|---|
Provider Name | Dr. Lisa Marie Lanzara-Bazzani |
First Address | Nashua, NH 03064-1343 |
Second Address | Nashua, NH 03064-1343 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2008 |
Last Update Date | 10/09/2008 |