Organization
JERROLD A. LASKIN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERROLD ARON LASKIN M.D. (PRESIDENT)
(317) 706-9600
Entity
Organization
Contact information
Practice address
12425 OLD MERIDIAN ST, SUITE B1, CARMEL, IN 46032-8724
(317) 706-9600
(317) 706-9606
Mailing address
12425 OLD MERIDIAN ST, SUITE B1, CARMEL, IN 46032-8724
(317) 706-9600
(317) 706-9606
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
01040371
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091454
ANTHEM PIN
IN
Enumeration date
05/07/2007
Last updated
01/31/2008
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