Lazerus, Jerry Wayne

Lazerus, Jerry Wayne is an sole proprietor health care provider with primary practice located at 13291 Highway 67 , Malvern AR 72104-7431. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Nursing Service Providers / Registered Nurse is his primary health care specialty. Lazerus, Jerry Wayne can be contacted via phone (501) 467-8061.

Contact Information

Primary practice address
13291 Highway 67 Malvern AR 72104-7431
Phone: (501) 467-8061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R28178 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C00450 Arkansas

Profile Details

NPI number 1881754422
LBN Legal business name Lazerus, Jerry Wayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

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.

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