| Mrs Erin Lazenby, CPNP | |
|
36 Panther Stadium Dr, Petal, MS 39465-3632 | |
| (601) 450-2144 | |
| (601) 450-2145 |
| Full Name | Mrs Erin Lazenby |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 36 Panther Stadium Dr, Petal, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730593989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | RN100625AP07799 (Louisiana) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | R852094 (Mississippi) | Primary |
| Entity Name | Southeast Mississippi Rural Health Initiative, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184694036 PECOS PAC ID: 2466342605 Enrollment ID: O20040319000300 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Erin Lazenby, CPNP Po Box 1729, Hattiesburg, MS 39403-1729 Ph: (601) 545-8700 | Mrs Erin Lazenby, CPNP 36 Panther Stadium Dr, Petal, MS 39465-3632 Ph: (601) 450-2144 |
Mrs. Hang My-thi Nguyen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Eastbrook Dr Ste 30, Petal, MS 39465 Phone: 601-336-5393 |
Katie Beth Gibbs, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln Ste 100, Petal, MS 39465 Phone: 601-705-2897 |
Mallory Stockstill, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 Fax: 601-584-4890 |
Christina Francessca Thornton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 |
David Lee Snodgrass, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 Fax: 601-584-4890 |
Frances Counts, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 Parkway Ln Ste 10, Petal, MS 39465 Phone: 601-544-7404 Fax: 601-584-6457 |
Raven Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 S Main St, Petal, MS 39465 Phone: 602-336-5626 |