Individual
JOSHUA ISAAC LAZENBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
US NAVY HM IDC
Contact information
Practice address
FC 308 HM SMITH BLVD, CAMP LEJEUNE, NC 28547
(910) 451-5125
Mailing address
105 NAVY BLUE DR, JACKSONVILLE, NC 28540-3158
(704) 239-3585
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/14/2026
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