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Contact Information

JACK LAZERSON, MD
1524 PINTO LN
LAS VEGAS, NV89106-4195
 Phone: 702-671-2231
 Fax: 702-671-2233
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JACK LAZERSON · (Male)

NPI Number 1174501985
Status Active
Credentials MD
Entity Individual
Enumeration date 01/03/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NV License # 5408
  • NV Medicaid 002019718
  • NV Other CS04078 STATE PHARMACY
Hospital affiliation(s) Not Available
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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