Lazarus, Kenneth J
Lazarus, Kenneth J is an sole proprietor health care provider with primary practice located at 1250 Highway 54 W Ste. 102, Fayetteville GA 30214-4545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Lazarus, Kenneth J can be contacted via phone (770) 719-2965.Contact Information
Primary practice address
1250 Highway 54 W Ste. 102
Fayetteville GA 30214-4545
Phone: (770) 719-2965
Fax: (770) 719-2963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 031058 | Georgia |
Profile Details
| NPI number | 1689602385 |
|---|---|
| LBN Legal business name | Lazarus, Kenneth J |
| Credentials | MD,PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Feb 6th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689602385 | NPPES |
| Georgia | MEDICAID | 000406975D |
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