National Provider Identifier

Maryanne Margaret Lazore, PT, DPT

Maryanne Margaret Lazore, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in East Aurora, NY and a listed phone number of (716) 714-9860.

NPI 1578440202East Aurora, NYPhysical Therapist

Profile Overview

NPI
1578440202
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
August 15, 2025
Last Updated
August 15, 2025

Practice Location

  • 230 Main St
  • East Aurora, NY 14052-1635

Phone: (716) 714-9860

Mailing Address

  • 6 Slate Creek Dr
  • Buffalo, NY 14227-3806

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1578440202
Entity Type
Individual
Last Name
Lazore
First Name
Maryanne
Middle Name
Margaret
Name Prefix
Dr.
Credential
PT, DPT
Mailing Street Address
6 Slate Creek Dr
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14227-3806
Mailing Country
US
Mailing Phone
(315) 247-3130
Practice Street Address
230 Main St
Practice City
East Aurora
Practice State
NY
Practice ZIP Code
14052-1635
Practice Country
US
Practice Phone
(716) 714-9860
Enumeration Date
August 15, 2025
Last Updated
August 15, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
August 12, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)