Provider Demographics
NPI:1326486937
Name:LAZZARO, NANCY SILVER (OTR)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:SILVER
Last Name:LAZZARO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1539 MARTIN ST
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:SC
Mailing Address - Zip Code:29108-2831
Mailing Address - Country:US
Mailing Address - Phone:803-321-2600
Mailing Address - Fax:
Practice Address - Street 1:1539 MARTIN ST
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:SC
Practice Address - Zip Code:29108-2831
Practice Address - Country:US
Practice Address - Phone:803-321-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC286225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist