JERRY WAYNE LAZERUS

MALVERN, AR
NPI1881754422
Professional NameJERRY LAZERUS
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: AR  R28178)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  C00450)
Enumeration Date2006-12-12
Last Update Date2007-07-09
Business Address
Mr. JERRY WAYNE LAZERUS
13291 HIGHWAY 67
MALVERN, AR 72104-7431
Phone number: 501-467-8061
Mailing Address
Mr. JERRY WAYNE LAZERUS
13291 HIGHWAY 67
MALVERN, AR 72104-7431
Phone number: 501-467-8061