Individual provider · Type 1 NPI

Jake Michael Lazer

Student in an Organized Health Care Education/Training Program · Owings Mills, MD

NPI number 1134748122 Active

Practice location

3702 Birchmere Ct
Owings Mills, MD 21117-1256

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134748122

Jake Michael Lazer's National Provider Identifier is 1134748122, issued on Apr 10, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Owings Mills, MD. The record was last updated on Apr 10, 2020.