Lazanda Kerbo

Key facts

NPI

1124566658

Entity type

Individual (NPI type 1)

Primary specialty

Adult Care Home Facility 311ZA0620X

Practice address

1336 Young St
Thomasville, GA 31792-3762

Phone

(229) 421-3212

NPI assigned

Feb 3, 2017

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 3, 2017.

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1124566658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 YOUNG ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317923762",
            "telephone_number": "229-421-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 YOUNG ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317923762",
            "telephone_number": "229-421-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERBO",
        "first_name": "LAZANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

• Kayla E Kaufman
• Elizabeth Nicole Keen, MA
• William R Kelso II, M.D,
• Candice Jatoya Kemp, NP
• Ike Manning Kent, P.T.
• Muhammad Ali Niaz Khan, MBBS
• Orooj Bakht Khan, MD
• Shoaib Khan
• Ethan Kim, MD
• Brian Joseph Kimrey

All providers in Thomasville, GA · Adult Care Home Facility in Georgia