Individual
DR. BARRY MARSHALL LAZENBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6522
(888) 972-8644
Mailing address
PO BOX 678207, DALLAS, TX 75267-8207
(800) 841-4236
(706) 653-1162
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
31652
SC
2085R0202X
Diagnostic Radiology Physician
A104418
CA
Other
Enumeration date
05/02/2007
Last updated
03/27/2019
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