Lazenby, Audrey J
Lazenby, Audrey J is an individual health care provider with primary practice located at Emile @ 42Nd St , Omaha NE 68198-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Lazenby, Audrey J can be contacted via phone (402) 559-4186.Contact Information
Primary practice address
Emile @ 42Nd St
Omaha NE 68198-0001
Phone: (402) 559-4186
Fax: (402) 559-6018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 18693 | Alabama |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 23983 | Nebraska |
Profile Details
| NPI number | 1003843640 |
|---|---|
| LBN Legal business name | Lazenby, Audrey J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Jan 16th, 2019 - about 5 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 | 1003843640 | NPPES |
| Alabama | Other | 051530857 | BLUE CROSS |
| Alabama | MEDICAID | 000025160 | BLUE CROSS |
| Alabama | Other | 1595934 | BLUE CROSS |
| Alabama | Other | 220015991 | BLUE CROSS |
| Alabama | Other | E36147 | BLUE CROSS |
| Alabama | Other | 000025160 | BLUE CROSS |
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