Lazenby, Lorry Wayne
Lazenby, Lorry Wayne is an sole proprietor health care provider with primary practice located at 2318 E 32Nd St Ste A , Joplin MO 64804-4326. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lazenby, Lorry Wayne can be contacted via phone (417) 206-0399.Contact Information
Primary practice address
2318 E 32Nd St Ste A
Joplin MO 64804-4326
Phone: (417) 206-0399
Fax: (417) 206-0567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TO2703 | Missouri |
Profile Details
| NPI number | 1750489001 |
|---|---|
| LBN Legal business name | Lazenby, Lorry Wayne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Oct 2nd, 2018 - about 6 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 | 1750489001 | NPPES |
| Missouri | Other | 200914664 | TAX I.D. # |
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