Individual
DR. DEWAYNE CHARLES LAZENBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5955 ZEAMER AVE, 673D MDG, JBER, AK 99506-3702
(907) 580-2908
Mailing address
5955 ZEAMER AVE, 673D MDG, JBER, AK 99506-3702
(907) 580-2908
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
250871
MA
Other
Enumeration date
09/01/2005
Last updated
08/03/2015
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