Lazor, Jason Nicholas

Lazor, Jason Nicholas is an individual health care provider with primary practice located at 4100 Lake Dr Se Suite 300, Grand Rapids MI 49546-8292. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Lazor, Jason Nicholas can be contacted via phone (616) 267-8860.

Contact Information

Primary practice address
4100 Lake Dr Se Suite 300 Grand Rapids MI 49546-8292
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS015665 Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 5101020228 Michigan

Profile Details

NPI number 1083841845
LBN Legal business name Lazor, Jason Nicholas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2009
Last updated Feb 22nd, 2021 - about 3 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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