-- Jack Lazerson --
M.D. | Pediatric Hematology-Oncology | Male
-- Jack Lazerson --, M.D. is a Las Vegas, Nevada based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of -- Jack Lazerson -- is
2040 W Charleston Blvd, 202-a, Las Vegas, Nevada - 89102-2227. He can be contacted on phone at
702-671-2355 and fax number 702-382-5388.
-- Jack Lazerson -- is a sole proprietor of his business.
NPI number (Unique professional ID) for -- Jack Lazerson -- is
1174501985 which was assigned by NPPES on 03 Jan, 2006 and it was last updated on 07 Mar, 2023.
-- Jack Lazerson -- license number is
5408 for Pediatrics, Pediatric Hematology-Oncology (2080P0207X) in Nevada.
-- Jack Lazerson -- is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
-- Jack Lazerson -- basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Hematology-Oncology |
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| Provider Name : | -- Jack Lazerson -- |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
-- Jack Lazerson -- address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2040 W Charleston Blvd, 202-a
Las Vegas, NV, 89102-2227
United States |
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| Phone Number : | 702-671-2355 |
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| Fax Number : | 702-382-5388 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1174501985 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Jan, 2006 |
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| Last Updated On : | 07 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for -- Jack Lazerson -- are as mentioned. Primary taxonomy code for -- Jack Lazerson --, M.D. is
2080P0207X (Pediatrics, Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 5408 | NV |
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | Yes | 5408 | NV |
Legacy Identifiers:
Other legacy medical identifiers of -- Jack Lazerson -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 002019718 | MEDICAID | NV | |
| 36069 | MEDICARE ID-Type Unspecified | NV | Medicare |
| A57995 | MEDICARE UPIN | NV | |
| CS04078 | Other (non-Medicare) | NV | State Pharmacy |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1524 Pinto Ln
Las Vegas, NV, 89106-4195
United States |
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| Phone Number : | 702-671-2231 |
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| Fax Number : | 702-671-2233 |
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Business Location:
Patients can refer following map for directions to
-- Jack Lazerson -- practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.