Effie Lafazanos, RDH PHDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

020.011312 Issued in IL

Practice address

820 East Terra Cotta Ave #218/220
Crystal Lake, IL 60014

Phone

(815) 455-5490

Fax

(815) 455-5498

NPI assigned

Nov 24, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1790389369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 EAST TERRA COTTA AVE #218/220",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "815-455-5490",
            "fax_number": "815-455-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 EAST TERRA COTTA AVE #218/220",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "815-455-5490",
            "fax_number": "815-455-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFAZANOS",
        "first_name": "EFFIE",
        "name_prefix": "Mrs.",
        "credential": "RDH PHDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IL",
            "license": "020.011312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J Kwasiborski
• David Kwon, D.D.S
• Marilyn M C Lacrosse, M.D.
• Barbara A Ladd, LCSW
• Lafazanos Dental PC
• Zoee Lagerhausen, OTR/L
• Mark Lagerkvist, D.C.
• Kevin Edward Lahey, LSW
• Lakeview Counseling Services
• Lakewood Solutions, LLC

• Dental Hygienist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Dental Hygienist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.