National Provider Identifier Database

JACK LAZERSON, MD – NPI #1174501985
Pediatric Hematology-Oncology

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.


Contact Information

JACK LAZERSON, MD
1524 PINTO LN
LAS VEGAS, NV89106-4195
Phone: 702-671-2231
Fax: 702-671-2233
Website:
Specialty Taxonomy Code
* Pediatric Hematology-Oncology 2080P0207X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for JACK LAZERSON

NPI Number 1174501985
Credentials MD
Entity Individual
Enumeration date 01/03/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • NV License #: 5408
  • NV Medicaid: 002019718
  • NV Other: CS04078 STATE PHARMACY
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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