Individual
ERIC ULANDAY LAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3301 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1835
(702) 433-5296
(702) 433-5299
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11165
NV
208M00000X
Hospitalist Physician
Primary
11165
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505372
—
NV
01
—
CC8803
BLUE CROSS BLUE SHIELD
NV
Enumeration date
08/31/2006
Last updated
03/16/2026
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