Dr. Jamie Lazin
Orthodontists
11 E 58th St
Indianapolis
, Indiana 46220-2519
Dr. Jamie Lazin
Orthodontists
11 E 58th St
Indianapolis
, Indiana 46220-2519
(404) 931-1576
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Jamie Lazin
- 11 E 58th St
- Indianapolis, IN
- Zip : 46220-2519
- Phone : (404) 931-1576
Second Address
- Dr. Jamie Lazin
- 11 E 58th St
- Indianapolis, IN
- Zip : 46220-2519
- Phone : (404) 931-1576
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 12012549A | IN |
National Provider Identifier
| NPI | 1043661028 |
|---|---|
| Provider Name | Dr. Jamie Lazin |
| First Address | Indianapolis, IN 46220-2519 |
| Second Address | Indianapolis, IN 46220-2519 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2016 |
| Last Update Date | 30/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1201549A | DENTAL LICENSE (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.