Provider Demographics
NPI:1588097141
Name:LAUZIERE, ELIZABETH (OT/L, CHT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:LAUZIERE
Suffix:
Gender:F
Credentials:OT/L, CHT
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:LAUZIERE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OT/L, CHT
Mailing Address - Street 1:13 OLD KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766-2742
Mailing Address - Country:US
Mailing Address - Phone:603-443-9628
Mailing Address - Fax:
Practice Address - Street 1:13 OLD KINGS HWY
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-2742
Practice Address - Country:US
Practice Address - Phone:603-443-9628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-18
Last Update Date:2013-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0483174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist