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1255838447
STACEY ANN LAZAR
PROVIDENCE, RI
NPI
1255838447
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Former Name
STACEY ANN ZINOWICH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: RI APRN01812)
Enumeration Date
2018-04-12
Last Update Date
2018-06-14
Business Address
Ms. STACEY ANN LAZAR NP
593 EDDY ST
PROVIDENCE, RI 02903
Phone number: 401-444-5520
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Mailing Address
Ms. STACEY ANN LAZAR NP
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4513
Phone number: 401-444-6779
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