Organization
PETER G. LAZARNICK, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER GARY LAZARNICK D.C. (PRESIDENT)
(770) 834-7377
Entity
Organization
Contact information
Practice address
486 BANKHEAD HWY, CARROLLTON, GA 30117-2445
(770) 834-7477
(770) 834-0251
Mailing address
40 FOGGY BOTTOM DR, CARROLLTON, GA 30116-8047
(770) 834-7377
(770) 834-0251
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR001151
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1C GRP7356
MEDICARE GROUP
GA
Enumeration date
02/11/2008
Last updated
02/11/2008
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