Jennifer Lynne Lazarowicz, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD0000046389 Issued in TN

Practice address

307 Boatner Rd
Suite 114
Eglin Afb, FL 32542-1302

Phone

(850) 883-8473

Fax

(850) 883-9246

NPI assigned

Jun 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lynne Kennedy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1942461975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 BOATNER RD",
            "address_2": "SUITE 114",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421302",
            "telephone_number": "850-883-8473",
            "fax_number": "850-883-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 BOATNER RD",
            "address_2": "SUITE 114",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421302",
            "telephone_number": "850-883-8473",
            "fax_number": "850-883-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZAROWICZ",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "MD0000046389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KENNEDY",
            "middle_name": "LYNNE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lara Inga Larson, DDS
• Jamie Lynn Blanchard Lassiter, M.A., CCC-SLP
• David Patrick Laughlin, DO
• Peter Laughlin, D.D.S.
• Danielle Lawton, AGCNS-BC
• Zackary Frazier Leibowitz, DPT
• Brandon Samuel Lerner, MD
• Emilee Leslie
• Brett Erland Linck, M.D.
• Steven Michael Eugene Linnemeyer, MD

• Anatomic Pathology & Clinical Pathology Physician in Eglin Afb, FL
• Providers in Eglin Afb, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.