Dr Dewayne Charles Lazenby, MD | |
5955 Zeamer Ave, 673d Mdg, Jber, AK 99506-3702 | |
(907) 580-2908 | |
Not Available |
Full Name | Dr Dewayne Charles Lazenby |
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Gender | Male |
Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
Location | 5955 Zeamer Ave, Jber, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073507364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 250871 (Massachusetts) | Primary |
Entity Name | Alaska Native Tribal Health Consortium |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
Entity Name | Southcentral Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416 |
Mailing Address | Practice Location Address |
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Dr Dewayne Charles Lazenby, MD 5955 Zeamer Ave, 673d Mdg, Jber, AK 99506-3702 Ph: (907) 580-2908 | Dr Dewayne Charles Lazenby, MD 5955 Zeamer Ave, 673d Mdg, Jber, AK 99506-3702 Ph: (907) 580-2908 |
Dr. Marcus Orion Erdman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 673 Mdg, 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-2908 | |
Lindsay Huckabee, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-2908 | |
Dr. Charles Quentin Pace, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave., 673d Mdg, Jber, AK 99506 Phone: 907-580-1453 | |
Dr. Anne M Murphy, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-2908 | |
Dr. Bradley Dayton, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-2908 | |
Starrina A Gianelloni, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-2908 |