Provider Demographics
NPI:1518917616
Name:LAZARONY, CHRISTINE ELLEN (RPH)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ELLEN
Last Name:LAZARONY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6445 ALTEES DR
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:NY
Mailing Address - Zip Code:14487-9578
Mailing Address - Country:US
Mailing Address - Phone:585-346-9847
Mailing Address - Fax:
Practice Address - Street 1:5975 BIG TREE RD
Practice Address - Street 2:LIVONIA LAKEVILLE PHARMACY
Practice Address - City:LAKEVILLE
Practice Address - State:NY
Practice Address - Zip Code:14480-9722
Practice Address - Country:US
Practice Address - Phone:585-346-5615
Practice Address - Fax:585-346-2212
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY39668183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist