Individual
MS. JANICE LYNN LAZEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
202 W FAIRVIEW AVE, JOHNSON CITY, TN 37604-5611
(423) 439-4225
(423) 439-7371
Mailing address
365 STOUT DRIVE, BOX 70403, JOHNSON CITY, TN 37614
(423) 439-4515
(423) 439-5780
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21585
TN
363LF0000X
Family Nurse Practitioner
R117674
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q024045
—
TN
Enumeration date
08/18/2008
Last updated
02/16/2018
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