| Jack R. Lazer, D.m.d., P.c. | |
|
105 Mccort Place Johnstown PA 15904 | |
| (814) 269-4404 | |
| (814) 266-8668 |
| Full Name | Jack R. Lazer, D.m.d., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 105 Mccort Place, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Tracy L. Croyle (SECRETARY/INS. BILLING) |
| Authorized Official Contact | 8142694404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack R. Lazer, D.m.d., P.c. 105 Mccort Place Johnstown PA 15904 Ph: (814) 269-4404 | Jack R. Lazer, D.m.d., P.c. 105 Mccort Place Johnstown PA 15904 Ph: (814) 269-4404 |
| NPI Number | 1194890418 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 03/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194890418 | NPI | - | NPPES |
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