Jack Lazerson in Las Vegas - Pediatric Hematology-oncology
Jack Lazerson - NPI 1174501985
Jack Lazerson is a Pediatric Hematology-oncology in Las Vegas, Nevada. Jack Lazerson practices all healthcare services and medical treatments related to Pediatric Hematology-oncology. The NPI Number for Jack Lazerson is 1174501985. The last update date is 2023-03-07.
Jack Lazerson's current location address is 2040 W Charleston Blvd, Las Vegas, Nevada. You can contact this provider via phone number 7026712355 and fax number 7023825388. The mailing address for Jack Lazerson is 2040 W Charleston Blvd, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Lazerson |
|---|---|
| Address | 2040 W Charleston Blvd, Las Vegas, Nevada |
| Phone Number | 7026712355 |
| Fax Number | 7023825388 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174501985 |
|---|---|
| Provider Enumeration Date | 2006-01-03 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2040 W Charleston Blvd |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891022227 |
| Phone Number | 7026712355 |
| Fax Number | 7023825388 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Hematology-oncology |
|---|---|
| Taxonomy | 2080P0207X |
| Licence No | 5408 |
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Definition: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2019718 | NV | -- | |
| CS04078 | NV | STATE PHARMACY |
Post Comment/ Review Below
What is the unique identifier code issued to Jack Lazerson by the Centers for Medicare & Medicaid Services?
The Jack Lazerson has been assigned the NPI (National Provider Identifier) 1174501985. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jack Lazerson is located?
The Jack Lazerson is situated at the following address: 2040 W Charleston Blvd, Las Vegas, NV, 891022227.
What is Jack Lazerson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jack Lazerson's area of specialization is Pediatric Hematology-oncology, and the corresponding taxonomy code that categorizes this field of practice is 2080P0207X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174501985 to Jack Lazerson?
The Jack Lazerson received its 1174501985 assignment from the Centers for Medicare & Medicaid Services on 2006-01-03.
As of what date were the details related to Jack Lazerson most recently updated or revised?
The information pertaining to Jack Lazerson, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.