Lazenby, Allen W
Lazenby, Allen W is an individual health care provider with primary practice located at 121 N 20Th St Bldg 3, Opelika AL 36801-5454. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lazenby, Allen W can be contacted via phone (334) 745-6271.Contact Information
Primary practice address
121 N 20Th St Bldg 3
Opelika AL 36801-5454
Phone: (334) 745-6271
Fax: (334) 742-9879
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 00018373 | Alabama |
Profile Details
| NPI number | 1912937210 |
|---|---|
| LBN Legal business name | Lazenby, Allen W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Mar 7th, 2013 - about 12 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 | 1912937210 | NPPES |
| Alabama | MEDICAID | 000027395 | |
| Alabama | Other | 51027395 |
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