Lazor, Jennifer Ashley

Lazor, Jennifer Ashley is an individual health care provider with primary practice located at 1426 W Washington Blvd , Chicago IL 60607-1821. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Lazor, Jennifer Ashley can be contacted via phone (312) 829-1424.

Contact Information

Primary practice address
1426 W Washington Blvd Chicago IL 60607-1821
Phone: (312) 829-1424
Fax: (312) 850-8431
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036.136935 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 34.011289 Ohio

Profile Details

NPI number 1346515871
LBN Legal business name Lazor, Jennifer Ashley
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2012
Last updated Dec 20th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346515871 NPPES
Ohio MEDICAID 0112347

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