JACK LAZERSON M.D. NPI 1174501985

NPI Information

  • NPI: 1174501985
  • Provider Name: JACK LAZERSON, M.D.
  • Classification: Pediatrics - 2080P0207X
  • Specialization: Pediatric Hematology-Oncology
  • Entity Type: Individual
  • Address: 1524 PINTO LN
    LAS VEGAS, NV
    ZIP 89106
  • Phone: (702) 671-2231

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NPI Details

Jack Lazerson, M.D. is a pediatric hematology-oncology pediatrics in Las Vegas, NV. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Jack Lazerson, M.D. NPI is 1174501985. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1524 PINTO LN
LAS VEGAS, NV
ZIP 89106-195
Phone: (702) 671-2231
Fax: (702) 671-2233

The enumeration date for this NPI number is 1/3/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics5408NEVADANo
22080P0207XPediatricsPediatric Hematology-Oncology5408NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1002019718MEDICAIDNEVADA
2CS04078OTHERNEVADASTATE PHARMACY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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