JOHN N LAZENBY III, MHS, PA-C, Surgical MCALESTER, OK

Contact Information

JOHN N LAZENBY III, MHS, PA-C

4 E CLARK BASS BLVD STE 302
MCALESTER, OK 74501-4269

Phone: 918-426-4306
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for JOHN N LAZENBY III · (Male)

NPI Number	`1336779206`
Status	Active
Credentials	MHS, PA-C
Entity	Individual
Enumeration date	01/20/2020
Last updated	01/20/2020 - About 6 years ago
Sole proprietor ¹	Yes
Identifiers	OK License # 3133
Hospital affiliation(s)	MCALESTER REGIONAL HEALTH CENTER - (Acute Care) ONE CLARK BASS BOULEVARD MCALESTER, OK 74501

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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JOHN N LAZENBY III, MHS, PA-C – NPI #1336779206Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for JOHN N LAZENBY III · (Male)

Reviews for JOHN N LAZENBY III

JOHN N LAZENBY III, MHS, PA-C – NPI #1336779206
Surgical