Individual
DR. ALLEN W LAZENBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 N 20TH ST, BLDG 3, OPELIKA, AL 36801-5454
(334) 745-6271
(334) 742-9879
Mailing address
121 N 20TH ST, BLDG 3, OPELIKA, AL 36801-5454
(334) 745-6271
(334) 742-9879
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00018373
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000027395
—
AL
01
—
51027395
BLUE CROSS-BLUE SHIELD
AL
Enumeration date
07/03/2006
Last updated
03/07/2013
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