Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN NELSON LAZENBY III, MHS, PA-C
Active Sole ProprietorMR. JOHN NELSON LAZENBY III, MHS, PA-C is a Surgical Physician Assistant healthcare provider located in MCALESTER, Oklahoma. NPI 1336779206 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MCALESTER, OK
Registration Details
- NPI Number
- 1336779206
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2020 (6.5978348882408 yrs)
- Last Updated
- Jan 20, 2020
- License
-
3133 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4 E CLARK BASS BLVD STE 302MCALESTER, OK, 745014269Browse OK providers · Browse ZIP 74501
- Phone
- 9184264306
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.