Individual
JOHN THOMAS LAZENBY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
3807 CLAIRMONT RD, CHAMBLEE, GA 30341-4911
(770) 457-6236
(770) 451-8018
Mailing address
998 WILLIAMS MILL RD NE, ATLANTA, GA 30306-4431
(770) 457-6237
(770) 451-8018
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012692
GA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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