Ilene Lazenby

NPI 1639651516 · on the registry since 2018

Practice

Address: 90 E 200 N
Logan, UT 84321
Phone: (435) 752-0750
Organisation at this address: Bear River Mental Health
Bear River Mental Health8
Bear River Mental Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 195

Registry record

Primary taxonomy: Clinical Social Worker
1041C0700X
Also registered as: Clinical Social Worker
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-05-30
Status: Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah