Individual
DAVID CLAY LAZENBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
405 W GRAND AVE, DAYTON, OH 45405-4720
(937) 723-3564
Mailing address
3131 NEWMARK DR STE 220, MIAMISBURG, OH 45342-5400
(937) 436-4658
(888) 654-7267
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.011583
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2013
Last updated
07/30/2019
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