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Individual

DR. JOHN DAVID LAUZON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
2200 E. PARRISH AVE, BLDG B, STE 101, OWENSBORO, KY 42303-1449
(270) 683-3232
(270) 852-1600
Mailing address
2200 E. PARRISH AVE, BLDG B, STE 101, OWENSBORO, KY 42303-1449
(270) 683-3232
(270) 852-1600

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31795
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000051445
ID BLUE CROSS INSURANCE
KY
01
00000051445
ID BLUE CROSS INS
01
1069653
KY PASS-PORT NON-PARTICI
KY
05
64879026
KY
Enumeration date
09/20/2005
Last updated
11/10/2010
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