Provider Demographics
NPI:1427059542
Name:NEEFF, LAZETTA (DC)
Entity type:Individual
Prefix:
First Name:LAZETTA
Middle Name:
Last Name:NEEFF
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 S WALSH DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82609-4503
Mailing Address - Country:US
Mailing Address - Phone:307-473-1551
Mailing Address - Fax:
Practice Address - Street 1:330 S WALSH DR
Practice Address - Street 2:SUITE 201
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82609-4503
Practice Address - Country:US
Practice Address - Phone:307-473-1551
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY466111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY306688Medicare ID - Type Unspecified