MEDICARE: CATHERINE LAZATIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	12516-C	NV

General Provider Information

NPI Number	:	1447685995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE LAZATIN

Provider Business Mailing Address
First Line	:	9966 W MERANTO AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-9415
Country	:	US
Telephone Number	:	702-527-8013
Fax Number	:

Provider Business Practice Location Address
First Line	:	2920 S JONES BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5642
Country	:	US
Telephone Number	:	702-476-6395
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2013
Last Update Date	:	08/23/2025

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Directions to “ CATHERINE LAZATIN ” Practice Location

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