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NPI Code Detail

MEDICARE: ERIC ULANDAY LAZO M.D.

MEDICARE: ERIC ULANDAY LAZO M.D.
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
1208M00000XHospitalist Physician11165NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2CC8803OTHERNVBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1891806089
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC ULANDAY LAZO M.D.
Provider Business Mailing Address
First Line : 6900 N PECOS RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89086-4400
Country : US
Telephone Number : 702-791-9000
Fax Number :
Provider Business Practice Location Address
First Line : 3301 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1835
Country : US
Telephone Number : 702-433-5296
Fax Number : 702-433-5299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 03/16/2026

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Directions to “ ERIC ULANDAY LAZO M.D.” Practice Location

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