Lazos, Ernest Anastasios

Lazos, Ernest Anastasios is an individual health care provider with primary practice located at 2301 Evesham Rd Suite 507, Voorhees NJ 08043. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Lazos, Ernest Anastasios can be contacted via phone (856) 772-2979.

Contact Information

Primary practice address
2301 Evesham Rd Suite 507 Voorhees NJ 08043
Phone: (856) 772-2979
Fax: (856) 770-1192
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X MD01805 New Jersey

Profile Details

NPI number 1285787465
LBN Legal business name Lazos, Ernest Anastasios
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 19 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 1285787465 NPPES
New Jersey MEDICAID 4787901

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