# DR. JASON NICHOLAS LAZOR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083841845
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS015665 | PA | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 5101020228 | MI | Yes |

## Other

- **Enumeration date:** 06/18/2009
- **Last updated:** 11/05/2024