Individual
LAURA MARIE LAZENBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1065 BUCKS LAKE RD, QUINCY, CA 95971-9507
(530) 283-7161
(530) 283-7953
Mailing address
1065 BUCKS LAKE RD, QUINCY, CA 95971-9507
(530) 283-7161
(530) 283-7953
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20801
CA
363L00000X
Nurse Practitioner
APN000684
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00612080
RAILROAD
NV
Enumeration date
10/06/2006
Last updated
04/05/2021
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