person
Myra Celeste Lazzaro, PA-C
Surgical Physician Assistant in Fairfield, New Jersey
NPI 1447373907

Myra Celeste Lazzaro is a Surgical Physician Assistant based in Wayne, NJ and is specialized in Surgical. Myra Celeste Lazzaro practices in Fairfield, NJ and has the professional credentials of PA-C. The NPI Number for Myra Celeste Lazzaro is 1447373907 and holds a License No. MA052978 (New Jersey).

The current practice location address for Myra Celeste Lazzaro is 695 Us Highway 46, Fairfield, NJ and can be reached out via phone at 973-894-1263 and via fax at 888-972-3703.

Location: 695 Us Highway 46, Fairfield, NJ, 07474-4059
person
Provider Profile Details
NPI Number
1447373907
Provider Name
Myra Celeste Lazzaro
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
695 Us Highway 46, Fairfield, NJ, 07474-4059
Phone Number
973-894-1263
Fax Number
888-972-3703
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
695 Us Highway 46
City
State
Zip
07004-1592
Phone Number
973-894-1263
Fax Number
888-972-3703
person
Provider Business Mailing Address Details
Address
695 Us Highway 46
City
State
Zip
07004-1592
Phone Number
973-894-1263
Fax Number
888-972-3703
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
25MP00302000 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
MA052978 (Pennsylvania)
Definition
Definition to come...
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