Individual
DR. JAMES MARK LAZENBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
134 WOODROW ST, WEST HARTFORD, CT 06107-3061
(860) 818-6653
Mailing address
134 WOODROW ST, WEST HARTFORD, CT 06107-3061
(860) 818-6653
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
004122
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
004122
CT
Other
Enumeration date
02/25/2010
Last updated
05/14/2015
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