Lazerson, Jack
Lazerson, Jack is an sole proprietor health care provider with primary practice located at 1524 Pinto Ln , Las Vegas NV 89106-4195. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Lazerson, Jack can be contacted via phone (702) 671-2231.Contact Information
Primary practice address
1524 Pinto Ln
Las Vegas NV 89106-4195
Phone: (702) 671-2231
Fax: (702) 671-2233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5408 | Nevada |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 5408 | Nevada |
Profile Details
| NPI number | 1174501985 |
|---|---|
| LBN Legal business name | Lazerson, Jack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174501985 | NPPES |
| Nevada | MEDICAID | 002019718 | |
| Nevada | Other | CS04078 |
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