Individual provider · Type 1 NPI

Mehgan Blackwell Lazenby, CRNP

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1740580307 Active

Practice location

550 S Jackson St Dept Acb 1
Louisville, KY 40202-1622

Call (502) 561-7448 Map

Fax (502) 561-7480

Other practice locations

  • 1440 Narrow Lane Pkwy, Montgomery, AL 36111-2654 · (334) 281-4140

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X1-113065 (AL)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740580307

Mehgan Blackwell Lazenby, CRNP's National Provider Identifier is 1740580307, issued on Oct 29, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on May 2, 2022.