Provider Demographics
NPI:1083350946
Name:LAUZIERE, CIARA MARIE (LPN)
Entity Type:Individual
Prefix:
First Name:CIARA
Middle Name:MARIE
Last Name:LAUZIERE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WINCHENDON
Mailing Address - State:MA
Mailing Address - Zip Code:01475-2324
Mailing Address - Country:US
Mailing Address - Phone:978-490-8779
Mailing Address - Fax:
Practice Address - Street 1:15 HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:WINCHENDON
Practice Address - State:MA
Practice Address - Zip Code:01475-2324
Practice Address - Country:US
Practice Address - Phone:978-490-8779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN97290164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse