Provider Demographics
NPI:1164568945
Name:LASZLO, ZOLTAN CHARLES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ZOLTAN
Middle Name:CHARLES
Last Name:LASZLO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:CHUCK
Other - Middle Name:
Other - Last Name:LASZLO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:27554 BUTTERNUT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-3155
Mailing Address - Country:US
Mailing Address - Phone:440-801-1927
Mailing Address - Fax:
Practice Address - Street 1:2253 COLORADO AVE
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44052-3289
Practice Address - Country:US
Practice Address - Phone:440-288-0191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03326912183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist