Organization Active NPI

Eric U Lazo LLC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1053592774
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ERIC U LAZO LLC
Practice address
3301 W Charleston Blvd
Las Vegas, NV 89102-1835
Phone
(702) 968-0102
Fax
(702) 968-0104
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Ulanday Lazo, MD
Title
Physician Owner
Phone
(702) 968-0102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3301 W Charleston Blvd
Las Vegas, NV 89102-1835

Mailing address

PO Box 26302
Las Vegas, NV 89126-0302
Phone (702) 968-0102

National Provider Directory

National Provider Directory

Locations

2820 W Charleston Blvd
Ste 14
Las Vegas, NV 89102
Phone (702) 433-5296

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1053592774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26302",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891260302",
            "telephone_number": "702-968-0102",
            "fax_number": "702-968-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021835",
            "telephone_number": "702-968-0102",
            "fax_number": "702-968-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC U LAZO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "LAZO",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ULANDAY",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "702-968-0102",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.