DR. Lorry Wayne Lazenby, O.D.

NPI #1750489001 in Joplin, Missouri

Provider Information

NPI Number: 1750489001
Entity Type: Individual
Name: DR. Lorry Wayne Lazenby, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 20, 2006
Last Updated: Oct 2, 2018

Practice Location

Address: 2318 E 32ND ST STE A
City: Joplin
State: Missouri
ZIP Code: 64804-4326
Phone: (417) 206-0399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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