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Derek Lazzara

Cardiac Techlapsed - failure to renewLicense C001864
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Provider Information

First Name
Derek
Last Name
Lazzara
License Number
C001864
License Prefix
C
Provider Type
Cardiac Tech
Status
lapsed - failure to renew
County
Not listed
State
GA
GEMSIS ID
23b5891b-63aa-e911-8259-cccaa7913d97

Grade

Grade not yet available.

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