Whalio Doctors

NPI 1306052246

Nicole Lynn Lacz, MD

Practitioner Diagnostic Radiology Physician Nutley, NJ

Practice location

Address
20 High St, Nutley, NJ 07110-1132
Phone
(973) 879-3964
Fax
(973) 284-0269
Mailing address
777 Passaic Ave STE 360, Clifton, NJ 07012-1800

Registered specialties

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 25MA08793500 (NJ)

Registry record

NPI
1306052246
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 May 2007
Record last updated
14 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.