Lazenby, Susan Carol
Lazenby, Susan Carol is an individual health care provider with primary practice located at 7445 Allen Rd , Allen Park MI 48101-1963. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Lazenby, Susan Carol can be contacted via phone (313) 389-5600.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5501002541 | Michigan |
Profile Details
| NPI number | 1679074462 |
|---|---|
| LBN Legal business name | Lazenby, Susan Carol |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2018 |
| Last updated | Feb 27th, 2018 - about 7 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 | 1679074462 | NPPES |
| Michigan | MEDICAID | 38-1357020 |
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