Individual
TEMPLE HUDSON LAZENBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1118 ROSS CLARK CIR, SUITE 600, DOTHAN, AL 36301-3007
(334) 793-3900
(334) 793-5227
Mailing address
1118 ROSS CLARK CIR, SUITE 600, DOTHAN, AL 36301-3007
(334) 793-3900
(334) 793-5227
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13480
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000025429
—
AL
05
—
009939048
—
AL
01
—
051025429
BCBS
AL
01
—
51011907
BCBS
AL
Enumeration date
07/07/2006
Last updated
07/10/2024
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