A Family Podiatry Center
LBN: Allen Lazerson
A Family Podiatry Center is an health care organization with primary practice located at 1234 Powers Ferry Rd Suite 103, Marietta GA 30067-9414. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty.
Allen Lazerson can be contacted via phone (770) 951-8976, or through Lazerson, Allen via phone (770) 951-8976.
Contact Information
Primary practice address
1234 Powers Ferry Rd Suite 103
Marietta GA 30067-9414
Phone: (770) 951-8976
Fax: (770) 951-8988
Website:
Authorized official contact:
Name: Lazerson, Allen Doctor of Podiatric Medicine (DPM)
Phone: (770) 951-8976
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 000496 | Georgia |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | POD000496 | Georgia |
Profile Details
| NPI number | 1205036829 |
|---|---|
| LBN Legal business name | Allen Lazerson |
| DBA Doing business as | A Family Podiatry Center |
| Authorized official | Lazerson, Allen Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 22nd, 2007 |
| Last updated | Aug 14th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205036829 | NPPES |
| Georgia | MEDICAID | 00296458A |
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