Individual
KENNETH LAZENBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 ELKINS DR, MORGANTOWN, WV 26505-2891
(304) 319-3939
Mailing address
1007 ELKINS DR, MORGANTOWN, WV 26505-2891
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0007103
WV
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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