Doctor Name: | MS. PATRICIA R LAZUKA |
NPI Number: | 1114230224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 149.014159 |
Business Practice Address: | 15750 S Bell Rd Suite 2e Homer Glen, IL - 604918412 |
Business Phone Number: | 7083016311 |
Business Fax Number: | 4088820891 |
Mailing Address: | 17204 Laflin Ave, HAZEL CREST |
State: | IL |
Postal Code: | 604291842 |
Phone Number: | 7082970299 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2010 |
NPI Last Update Date: | 07/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149.014159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |