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Jamie Susan Lazeski Schanz

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

200 Ucla Medical Plz Ste 120, Los Angeles, CA 90095-3106

PECOS Enrollment

This provider is enrolled in PECOS as JAMIE SCHANZ.

Based on the most recent information from CMS, provider Jamie Susan Lazeski Schanz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1649952888
Provider Type
Individual
Full Name
Schanz, Jamie Susan Lazeski
Credential
FNP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
8/7/2023
Last Updated
1/2/2025

Contact Information

Practice Location

200 Ucla Medical Plz Ste 120, Los Angeles, CA 90095-3106

(310) 206-6909

Unlisted Fax

Mailing Location

5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

(310) 301-8707

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95032280 California
Code 363LA2200X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 041432434 Illinois
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 209028056 Illinois
Code 163WX0200X	Description Registered Nurse Nursing Service Providers	License 041432434 Illinois

Jamie Susan Lazeski Schanz

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

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License

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License

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