Mrs Mehgan Blackwell Lazenby, CRNP is a
Student In An Organized Health Care Education/training Program based in Louisville, Kentucky. Mrs Mehgan Blackwell Lazenby is licensed to practice in Kentucky (license number ) and her current practice location is
550 S Jackson St Dept Acb 1, Louisville, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(502) 561-7448.
NPI number for Mrs Mehgan Blackwell Lazenby is 1740580307 and her current mailing address is 550 S Jackson St Dept Acb 1, Louisville, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740580307.
Provider's Profile
| Full Name | Mrs Mehgan Blackwell Lazenby |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 550 S Jackson St Dept Acb 1, Louisville, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1740580307
- Provider Enumeration Date: 10/29/2010
- Last Update Date: 05/02/2022
Medical Identifiers
Medical identifiers for Mrs Mehgan Blackwell Lazenby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740580307 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 1-113065 (Alabama) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mehgan Blackwell Lazenby is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Mehgan Blackwell Lazenby, CRNP
550 S Jackson St Dept Acb 1,
Louisville, KY 40202-1622
Ph: (502) 561-7448 | Mrs Mehgan Blackwell Lazenby, CRNP
550 S Jackson St Dept Acb 1,
Louisville, KY 40202-1622
Ph: (502) 561-7448 |
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