Individual provider · Type 1 NPI
Erin Lazenby, CPNP
Pediatric Nurse Practitioner · Petal, MS
NPI number
1730593989
Active
Practice location
36 Panther Stadium Dr
Petal, MS 39465-3632
Fax (601) 450-2145
Mailing address
PO Box 1729
Hattiesburg, MS 39403-1729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN100625AP07799 (LA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | R852094 (MS) |
Pediatric Nurse Practitioner: Definition to come...
3 other providers at this address
Other pediatric nurse practitioner providers in Petal
About NPI 1730593989
Erin Lazenby, CPNP's National Provider Identifier is 1730593989, issued on Jun 16, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Petal, MS. The record was last updated on Jun 30, 2025.