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Dr. Jason Nicholas Lazor

Family Doctor Family Doctor - Sports Medicine

4100 Lake Dr Se Suite 300
Grand Rapids , Michigan 49546-8292

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Dr. Jason Nicholas Lazor

Family Doctor Family Doctor - Sports Medicine

4100 Lake Dr Se Suite 300
Grand Rapids , Michigan 49546-8292

(616) 486-6790

Write a Review Save Call

Dr. Jason Nicholas Lazor

Family Doctor Family Doctor - Sports Medicine

4100 Lake Dr Se Suite 300
Grand Rapids , Michigan 49546-8292

(616) 486-6790 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor
  • Family Doctor - Sports Medicine

Languages spoken

  • English

Location

4100 Lake Dr Se Suite 300 Grand Rapids , Michigan 49546-8292

First Address

  • Dr. Jason Nicholas Lazor
  • 100 Michigan St Ne # Mc845
  • Grand Rapids, MI
  • Zip : 49503-2560
  • Phone : (616) 486-6790

Second Address

  • Dr. Jason Nicholas Lazor
  • 4100 Lake Dr Se Suite 300
  • Grand Rapids, MI
  • Zip : 49546-8292
  • Phone : (616) 267-8860

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FAQs


Where did Dr. Jason Nicholas Lazor attend graduate school?

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Where did Dr. Jason Nicholas Lazor do his residency?

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Where did Dr. Jason Nicholas Lazor do his fellowship?

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Is Dr. Jason Nicholas Lazor board certified?

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What type of doctor is Dr. Jason Nicholas Lazor

Family Doctor - Sports Medicine

In what state does Dr. Jason Nicholas Lazor practice in?

Michigan

Where is Dr. Jason Nicholas Lazor ’s practice located?

4100 Lake Dr Se Suite 300 , Grand Rapids, Michigan, 49546-8292

What is Dr. Jason Nicholas Lazor ’s gender?

Male

Is Dr. Jason Nicholas Lazor a sole practitioner?

No

Is Dr. Jason Nicholas Lazor accepting new patients?

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What languages does Dr. Jason Nicholas Lazor speak?

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Does Dr. Jason Nicholas Lazor accept insurance?

Yes, Dr. Jason Nicholas Lazor accepts insurance

Does Dr. Jason Nicholas Lazor offers telemedicine?

Dr. Jason Nicholas Lazor has not indicated if he offers telemedicine

What is Dr. Jason Nicholas Lazor ’s professional license number?

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What is Dr. Jason Nicholas Lazor ’s NPI number?

1083841845

Does Dr. Jason Nicholas Lazor have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207Q00000X Family Doctor OS015665 PA
Y 207QS0010X Family Doctor - Sports Medicine 5101020228 MI

National Provider Identifier

NPI 1083841845
Provider Name Dr. Jason Nicholas Lazor
First Address Grand Rapids, MI 49503-2560
Second Address Grand Rapids, MI 49546-8292
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 18/06/2009
Last Update Date 22/02/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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