Jack R. Lazer, D.m.d., P.c.
NPI #1194890418 in Johnstown, Pennsylvania
Provider Information
- NPI Number
- 1194890418
- Entity Type
- Organization
- Organization Name
- Jack R. Lazer, D.m.d., P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 21, 2006
- Last Updated
- Mar 29, 2012
Practice Location
- Address
- 105 MCCORT PLACE
- City
- Johnstown
- State
- Pennsylvania
- ZIP Code
- 15904
- Phone
- (814) 269-4404
Authorized Official
- Name
- TRACY L. CROYLE
- Title
- SECRETARY/INS. BILLING
- Phone
- (814) 269-4404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist |
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