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Individual

MRS. ERIN LAZENBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
36 PANTHER STADIUM DR, PETAL, MS 39465-3632
(601) 450-2144
(601) 450-2145
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-8700
(601) 255-2645

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R852094
MS
363LP0200X
Pediatric Nurse Practitioner
RN100625AP07799
LA

Other

Enumeration date
06/16/2014
Last updated
06/30/2025
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