Lazenby, Dewayne Charles

Lazenby, Dewayne Charles is an individual health care provider with primary practice located at 5955 Zeamer Ave 673D Mdg, Jber AK 99506-3702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as his primary health care specialty. Lazenby, Dewayne Charles can be contacted via phone (907) 580-2908.

Contact Information

Primary practice address
5955 Zeamer Ave 673D Mdg Jber AK 99506-3702
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 250871 Massachusetts

Profile Details

NPI number 1073507364
LBN Legal business name Lazenby, Dewayne Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Aug 3rd, 2015 - about 9 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.

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