ALEXANDER LAZEBNIK

REVERE, MA
NPI1326256405
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: MA  s82758094)
Enumeration Date2007-05-20
Last Update Date2007-07-08
Business Address
Mr. ALEXANDER LAZEBNIK
376 OCEAN AVE APT 603
REVERE, MA 02151-2645
Phone number: 781-956-9779
Mailing Address
Mr. ALEXANDER LAZEBNIK
376 OCEAN AVE APT 603
REVERE, MA 02151-2645
Phone number: 781-956-9779