Organization
KERRY J. LAZENBY, PLLC
Active
Other names
Dr. Kerry J. Lazenby, D.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA D. WANDRIE (OFFICE MANAGER)
(989) 729-7000
Entity
Organization
Contact information
Practice address
1243 E M 21, OWOSSO, MI 48867-9038
(989) 729-7000
(989) 729-0842
Mailing address
1243 E M 21, OWOSSO, MI 48867-9038
(989) 729-7000
(989) 729-0842
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008232
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G810660
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/08/2009
Last updated
01/08/2010
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