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1063801793
EILEEN LAZECKO
WILMINGTON, NC
NPI
1063801793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-05397)
Enumeration Date
2015-01-19
Last Update Date
2020-08-19
Business Address
EILEEN LAZECKO PA-C
2800 ASHTON DR
WILMINGTON, NC 28412-2575
Phone number: 910-794-8895
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Mailing Address
EILEEN LAZECKO PA-C
527 COMMONS WAY
WILMINGTON, NC 28409-9189
Phone number: 815-715-3733
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