James Mark Lazenby, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

004122 Issued in CT

Practice address

134 Woodrow St
West Hartford, CT 06107-3061

Phone

(860) 818-6653

NPI assigned

Feb 25, 2010

Last updated

May 14, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1699097048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 WOODROW ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073061",
            "telephone_number": "860-818-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 WOODROW ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073061",
            "telephone_number": "860-818-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZENBY",
        "first_name": "JAMES",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-25",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "004122",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "004122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lawrence-Hawley, LCSW
• Lynnette Lawson, CCC-SLP
• Peta Lawson, LPC
• Christine A Lay
• Deyon M Lazarus Wiknik
• Michelle Lea
• John Scott Leard
• Samantha Leary, LMHC
• Spencer Lebel, DPT
• Susan Solange Leclair, MA, LMFT

• Adult Health Nurse Practitioner in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Adult Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.