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Contact Information

ALLEN LAZERSON
1234 POWERS FERRY RD
SUITE 103
MARIETTA, GA30067-9414
 Phone: 770-951-8976
 Fax: 770-951-8988
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for ALLEN LAZERSON

NPI Number 1205036829
LBN Legal business name ALLEN LAZERSON
Authorized official ALLEN LAZERSON - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/22/2007
Last updated 08/14/2008 - About 18 years ago
Identifiers
GA License # 000496
GA License # POD000496
GA Medicaid 00296458A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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