Healthcare Provider Details

I. General information

NPI: 1609102326
Provider Name (Legal Business Name): LJZR ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2009
Last Update Date: 01/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 MEADOWS LANE SUITE 120
LAS VEGAS NV
89107
US

IV. Provider business mailing address

PO BOX 33534
LAS VEGAS NV
89133
US

V. Phone/Fax

Practice location:
  • Phone: 702-259-4944
  • Fax: 702-259-4945
Mailing address:
  • Phone: 702-259-4944
  • Fax: 702-259-4945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: DR. LAURA JOAN JEZIORSKI
Title or Position: DR. AUDIOLOGY/OWNER
Credential: AU. D
Phone: 702-460-5398