Jodi Lasky PA-C

NPI 1003188814 - Physician Assistant - 363AM0700X

NPI Details
NPI 1003188814
Gender Female
Enumeration Date 02/09/2012
Last Updated 07/31/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
26 WESTPORT DR
WATERBURY CT, 06706-2854, US
Phone (203) 565-4728
Fax
Business Location
26 WESTPORT DR
WATERBURY CT, 06706-2854, US
Phone (203) 565-4728
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Connecticut
License Number 001139
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According to our database, Ms. Jodi Lasky PA-C NPI is 1003188814, taxonomy code is 363AM0700X and license number is 001139, license state is located at Connecticut. Jodi Lasky PA-C physically located at 26 Westport Dr, Waterbury CT, 06706-2854. NPI Number Jodi Lasky PA-C has the Individual type.

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1003188814 NPI number is provided on an as is basis without warranty of any kind. 1003188814 is maintained by the National Plan & Provider Enumeration System. The contents of Jodi Lasky PA-C are for informational purposes only.