Provider Demographics
NPI:1568887024
Name:STRAZZO, LYNNASHLEY ELLIOTT (DC)
Entity Type:Individual
Prefix:MISS
First Name:LYNNASHLEY
Middle Name:ELLIOTT
Last Name:STRAZZO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:453 WANDA CIR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-1028
Mailing Address - Country:US
Mailing Address - Phone:717-341-2058
Mailing Address - Fax:717-534-1957
Practice Address - Street 1:158 W CARACAS AVE
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-1510
Practice Address - Country:US
Practice Address - Phone:717-533-6100
Practice Address - Fax:717-534-1957
Is Sole Proprietor?:No
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010853111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor