Active NPI
Nicole L Lazorik, RDH
- Dental Hygienist
- Ashland, WI
National Provider Identifier
1124761200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 5134
- Practice address
- 300 Main St W
Ashland, WI 54806-1639 - Phone
- (715) 685-2200
- Fax
- (715) 685-1185
- NPI assigned
- Apr 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 5134 | WI | Primary |
Addresses
Primary practice location
300 Main St W
Ashland, WI 54806-1639
Mailing address
15735 W US Highway 63
Hayward, WI 54843-6475
Phone (715) 934-0710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1124761200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15735 W US HIGHWAY 63",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548436475",
"telephone_number": "715-934-0710",
"fax_number": "715-598-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MAIN ST W",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548061639",
"telephone_number": "715-685-2200",
"fax_number": "715-685-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZORIK",
"first_name": "NICOLE",
"middle_name": "L",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-18",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "5134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.