National Provider Identifier
Todd Lazenby, MA, ATC
Todd Lazenby, MA, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (607) 274-1717.
Profile Overview
- NPI
- 1386075687
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- December 12, 2013
- Last Updated
- December 12, 2013
Practice Location
- 953 Danby RD
- G68 Hill Center
- Ithaca, NY 14850-7000
Phone: (607) 274-1717
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1386075687
- Entity Type
- Individual
- Last Name
- Lazenby
- First Name
- Todd
- Credential
- MA, ATC
- Mailing Street Address
- 953 Danby RD
- Mailing Address Line 2
- G68 Hill Center
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-7000
- Mailing Country
- US
- Mailing Phone
- (607) 274-1717
- Practice Street Address
- 953 Danby RD
- Practice Address Line 2
- G68 Hill Center
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-7000
- Practice Country
- US
- Practice Phone
- (607) 274-1717
- Enumeration Date
- December 12, 2013
- Last Updated
- December 12, 2013
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)