Individual provider · Type 1 NPI
Keri Lazure, PA-C
Medical Physician Assistant · Bellevue, NE
NPI number
1902864622
Active
Practice location
2206 Longo Dr, Suite 201
Bellevue, NE 68005-2977
Fax (402) 292-0119
Mailing address
2206 Longo Dr Ste 201
Bellevue, NE 68005-2977
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 894 (NE) |
Medical Physician Assistant: Definition to come...
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About NPI 1902864622
Keri Lazure, PA-C's National Provider Identifier is 1902864622, issued on May 2, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bellevue, NE. The record was last updated on Dec 9, 2020.