Individual
CRAIG A LAZENBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
985 AIRPORT RD, DESTIN, FL 32541-2835
(850) 988-1777
(850) 889-7999
Mailing address
985 AIRPORT RD, DESTIN, FL 32541-2835
(850) 988-1777
(918) 310-1056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28135
FL
Other
Enumeration date
06/02/2021
Last updated
09/19/2023
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