Individual
DR. LAJOS ZSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF NEPHROLOGY, JACKSON, MS 39216
(601) 984-5687
(601) 984-5765
Mailing address
P.O. BOX 24146, UNIVERSITY PHYSICIANS, PLLC, JACKSON, MS 39225-4146
(601) 984-5687
(601) 984-5765
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35087077
OH
207RN0300X
Nephrology Physician
Primary
19802
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00635837
—
MS
01
—
35087077
STATE LICENSE
OH
01
—
512I110110
MEDICARE PTAN
MS
Enumeration date
10/31/2005
Last updated
08/12/2008
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