John P Lazenby MD

NPI 1043205719 - Internal Medicine - 207RC0200X

NPI Details
NPI 1043205719
Gender Male
Enumeration Date 09/19/2005
Last Updated 02/17/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
3320 OLD JEFFERSON RD
STE 200A
ATHENS GA, 30607-1400, US
Phone (706) 549-5560
Fax (706) 543-2593
Business Location
3320 OLD JEFFERSON RD
STE 200A
ATHENS GA, 30607-1400, US
Phone (706) 549-5560
Fax (706) 543-2593
Toxanomy
Taxonomy Code 207RC0200X
License State Georgia
License Number 50971
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According to our database, Dr. John P Lazenby MD NPI is 1043205719, taxonomy code is 207RC0200X and license number is 50971, license state is located at Georgia. John P Lazenby MD physically located at 3320 Old Jefferson Rd, Athens GA, 30607-1400. NPI Number John P Lazenby MD has the Individual type.

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1043205719 NPI number is provided on an as is basis without warranty of any kind. 1043205719 is maintained by the National Plan & Provider Enumeration System. The contents of John P Lazenby MD are for informational purposes only.