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Individual

DIANA LEE LAZENBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3345 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2283
(928) 445-5211
(928) 445-5189
Mailing address
3345 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2283
(928) 445-5211
(928) 445-5189

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN182010
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
313580
AZ

Other

Enumeration date
08/12/2014
Last updated
12/11/2024
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