NPI 1609029180

Anna Lazic, ATC

Practitioner Athletic Trainer Tinton Falls, NJ

Practice location

Address: 235 Hope Rd, Tinton Falls, NJ 07724-3066
Phone: (732) 542-4777
Mailing address: 36 Sage Rd, Toms River, NJ 08753-2644

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 25MT00089300 (NJ)

Other Specialist/Technologist providers in New Jersey →

Registry record

NPI: 1609029180
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Oct 2008
Record last updated: 29 Oct 2008

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.