Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jason Nicholas Lazor, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1083841845

Dr. Jason Nicholas Lazor, DO is a Sports Medicine in Grand Rapids, Michigan. Graduated from Philadelphia College of Osteopathic Medicine in 2009, 17 years ago. Practices with Center for Physical Rehabilitation Inc, a 344-clinician group and accepts Medicare assignment. Licensed in Michigan and Pennsylvania.

Years since qualifying
17
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
MI, PA
In the registry since
2009
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2770 E Beltline Ave NE
Grand Rapids, MI 49525-8614
Phone: (616) 267-8860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 5101020228 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS015665 (PA)

Record details

NPI number1083841845
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 18, 2009
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2009 (17 years in practice)
Group practice Center For Physical Rehabilitation Inc — 344 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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