Lazenby, John P
Lazenby, John P is an individual health care provider with primary practice located at 3320 Old Jefferson Rd Ste 200A, Athens GA 30607-1400. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Lazenby, John P can be contacted via phone (706) 549-5560.Contact Information
Primary practice address
3320 Old Jefferson Rd Ste 200A
Athens GA 30607-1400
Phone: (706) 549-5560
Fax: (706) 543-2593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 050971 | Georgia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 50971 | Georgia |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 50971 | Georgia |
Profile Details
| NPI number | 1043205719 |
|---|---|
| LBN Legal business name | Lazenby, John P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Feb 17th, 2009 - about 15 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 | 1043205719 | NPPES |
| Georgia | MEDICAID | 00934953A |
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