Michele Lazerow, DC, LIC.AC.

Individual provider Active NPI Rehabilitation Chiropractor · Oak Bluffs, MA

NPI 1578635751 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1578635751
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Chiropractor 111NR0400X
License
753 (MA)
Practice address
6 Pontiac St
Oak Bluffs, MA 02557
Phone
(508) 693-2000
Fax
(508) 693-8526
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
70MAMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 70 MA
Rehabilitation Chiropractor 111NR0400X 753 MA Yes

Addresses

Primary practice location

6 Pontiac St
Oak Bluffs, MA 02557

Mailing address

PO Box 649
Oak Bluffs, MA 02557-0649
Phone (508) 693-2000

Other providers in Oak Bluffs, MA

All providers in Oak Bluffs, MA · Rehabilitation Chiropractor in Massachusetts

Sources for this page

Verify at the official NPI Registry.