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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JERRY WAYNE LAZERUS

Active Sole Proprietor

MR. JERRY WAYNE LAZERUS is a Registered Nurse healthcare provider located in MALVERN, Arkansas. NPI 1881754422 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · MALVERN, AR

Registration Details

NPI Number
1881754422
Provider Type
Individual
Gender
Male
NPI Issued
Dec 12, 2006 (19.631350985414 yrs)
Last Updated
Sep 11, 2025
Licenses
R28178 (AR)
C00450 (AR)
Sole Proprietor
Yes

Practice Information

Address
13291 HIGHWAY 67
MALVERN, AR, 721047431
Browse AR providers · Browse ZIP 72104
Phone
5014678061
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in MALVERN, AR

Name Credential NPI
MS. MARY ANN CARTHAN RN 1174599443
NICOLE SMITH RN 1356551576
TRISHA JO NICHOLAS RN 1700109816
TAMARA PARNELL RN 1649516055
TERESA GAIL BASHAW RN 1821583220
CASSANDRA LOVELL 1174371884
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.