Provider Demographics
NPI:1598272957
Name:LAZZARO, JOANNE (RN)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:
Last Name:LAZZARO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 ROUSER RD
Mailing Address - Street 2:
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-6801
Mailing Address - Country:US
Mailing Address - Phone:412-604-8900
Mailing Address - Fax:412-299-8755
Practice Address - Street 1:212 OUTLET WAY STE 1
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-7197
Practice Address - Country:US
Practice Address - Phone:724-853-7300
Practice Address - Fax:724-853-8018
Is Sole Proprietor?:No
Enumeration Date:2018-01-08
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN167407L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse