Provider Demographics
NPI:1508524695
Name:BRZEZINSKI, JANET (LAC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:BRZEZINSKI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7206 267TH ST NW STE 102
Mailing Address - Street 2:
Mailing Address - City:STANWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98292-6269
Mailing Address - Country:US
Mailing Address - Phone:360-572-4244
Mailing Address - Fax:360-629-7074
Practice Address - Street 1:7206 267TH ST NW STE 102
Practice Address - Street 2:
Practice Address - City:STANWOOD
Practice Address - State:WA
Practice Address - Zip Code:98292-6269
Practice Address - Country:US
Practice Address - Phone:360-629-2222
Practice Address - Fax:360-629-7074
Is Sole Proprietor?:No
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC61238660171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist