| NPI | 1881754422 |
|---|---|
| Professional Name | JERRY LAZERUS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AR R28178) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C00450) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-09 |