Whalio Doctors

NPI 1073507364

Dewayne Charles Lazenby, MD

Practitioner Developmental - Behavioral Pediatrics Physician Jber, AK

Practice location

Address
5955 Zeamer Ave 673d Mdg, Jber, AK 99506-3702
Phone
(907) 580-2908

Registered specialties

Developmental - Behavioral Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2080P0006X Licence 250871 (MA)

Registry record

NPI
1073507364
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Sep 2005
Record last updated
3 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.