SearchIllinois124Q00000X

Effie Lafazanos, RDH PHDH

NPI 1790389369 · on the registry since 2020

Practice

Address
820 East Terra Cotta Ave #218/220
Crystal Lake, IL 60014
Phone
(815) 455-5490
Fax
(815) 455-5498

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-11-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois