DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENNETH J LAZARUS, MD,PHD

Active Sole Proprietor

DR. KENNETH J LAZARUS, MD,PHD is a Neurology healthcare provider located in FAYETTEVILLE, Georgia. NPI 1689602385 is currently active in the NPPES registry. Verify at CMS.

Neurology · FAYETTEVILLE, GA

Registration Details

NPI Number
1689602385
Provider Type
Individual
Gender
Male
NPI Issued
Jun 29, 2006 (20.102348770095 yrs)
Last Updated
Feb 6, 2012
License
031058 (GA)
Sole Proprietor
Yes

Practice Information

Address
1250 HIGHWAY 54 W
STE. 102
FAYETTEVILLE, GA, 302144545
Browse GA providers · Browse ZIP 30214
Phone
7707192965
Fax
7707192963
Primary Specialty
Neurology
2084N0400X

Other Neurology Providers in FAYETTEVILLE, GA

Name Credential NPI
MR. VIRENDRA V RANADIVE MD 1447211149
MR. WALLACE MAXWELL GREEN PAC 1306979059
DR. SONAL RAMESHCHANDRA HAZARIWALA MD 1457579492
KRISHNA J GOLI M.D. 1932384427
DR. LISA M AVERY M.D. 1699008409
EVAN MCCARROLL JOHNSON MD 1023547890
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.