MR. Jerry Wayne Lazerus

NPI #1881754422 in Malvern, Arkansas

Provider Information

NPI Number
1881754422
Entity Type
Individual
Name
MR. Jerry Wayne Lazerus
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse
Enumeration Date
Dec 12, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
13291 HIGHWAY 67
ZIP Code
72104-7431
Phone
(501) 467-8061

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Nurse Anesthetist, Certified Registered

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