Organization Name: | ALLEN LAZERSON |
NPI Number: | 1205036829 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALLEN LAZERSON (OWNER) |
Mailing Address: | 1234 Powers Ferry Rd Suite 103 Marietta |
State: | GA US |
Postal Code: | 300679414 |
Phone Number: | 7709518976 |
Fax Number: | 7709518988 |
NPI Enumeration Date: | 07/22/2007 |
NPI Last Update Date: | 08/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | POD000496 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |