MRS. Audrey Vizzaccaro, P.A.-C.
NPI #1982878609 in Lake Orion, Michigan
Provider Information
- NPI Number
- 1982878609
- Entity Type
- Individual
- Name
- MRS. Audrey Vizzaccaro, P.A.-C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- P.A.-C.
- Enumeration Date
- Apr 14, 2008
- Last Updated
- Apr 14, 2008
Practice Location
- Address
- 1261 SOUTH LAPEER RD
- Address 2
- STE 201
- City
- Lake Orion
- State
- Michigan
- ZIP Code
- 48360
- Phone
- (248) 814-7546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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