Lazenby, William Douglas
Lazenby, William Douglas is an individual health care provider with primary practice located at 220 W College St Ste B , Griffin GA 30224-4250. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lazenby, William Douglas can be contacted via phone (770) 233-1080.Contact Information
Primary practice address
220 W College St Ste B
Griffin GA 30224-4250
Phone: (770) 233-1080
Fax: (770) 233-3680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 051969 | Georgia |
Profile Details
| NPI number | 1245286376 |
|---|---|
| LBN Legal business name | Lazenby, William Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Jun 22nd, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245286376 | NPPES |
| Georgia | Other | 202I025868 | MEDICARE PTAN |
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