Search › Arkansas › 163W00000X
Jerry Lazerus
NPI 1881754422 · on the registry since 2006 · sole proprietor
Practice
- Address
- 13291 Highway 67
Malvern, AR 72104 - Phone
- (501) 467-8061
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 367500000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas