Search › California › 183500000X
Eric Hazard
NPI 1932511771 · on the registry since 2014
Practice
- Address
- 4000 Lake Tahoe Blvd
#6
South Lake Tahoe, CA 96150 - Phone
- (530) 544-4111
- Fax
- (530) 544-1797
- Organisation at this address
- Elevated Fitness Llc
Garfield Beach Cvs, L.L.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-05-28
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 California