Lazorka, Jeremy Daniel

Lazorka, Jeremy Daniel is an sole proprietor health care provider with primary practice located at 529 High St , Lock Haven PA 17745-3029. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lazorka, Jeremy Daniel can be contacted via phone (570) 858-5622.

Contact Information

Primary practice address
529 High St Lock Haven PA 17745-3029
Phone: (570) 858-5622
Fax: (570) 858-5636
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA055552 Pennsylvania

Profile Details

NPI number 1043573066
LBN Legal business name Lazorka, Jeremy Daniel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2012
Last updated Sep 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043573066 NPPES
Pennsylvania Other 599185F6K MEDICARE
Pennsylvania MEDICAID 103271986 MEDICARE

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