SearchCalifornia183500000X

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