James Mark Lazenby APRN

NPI 1699097048 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1699097048
Gender Male
Enumeration Date 02/25/2010
Last Updated 05/14/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
134 WOODROW ST
WEST HARTFORD CT, 06107-3061, US
Phone (860) 818-6653
Fax
Business Location
134 WOODROW ST
WEST HARTFORD CT, 06107-3061, US
Phone (860) 818-6653
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Connecticut
License Number 004122
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According to our database, Dr. James Mark Lazenby APRN NPI is 1699097048, taxonomy code is 363L00000X and license number is 004122, license state is located at Connecticut. James Mark Lazenby APRN physically located at 134 Woodrow St, West Hartford CT, 06107-3061. NPI Number James Mark Lazenby APRN has the Individual type.

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1699097048 NPI number is provided on an as is basis without warranty of any kind. 1699097048 is maintained by the National Plan & Provider Enumeration System. The contents of James Mark Lazenby APRN are for informational purposes only.