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Individual

TIFFANY M LASKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-5300
(915) 215-8606
Mailing address
5130 GATEWAY BLVD E # CP, EL PASO, TX 79905-1608
(915) 215-4480
(915) 215-5386

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1809
TN
208600000X
Surgery Physician
3449
WV
208600000X
Surgery Physician
U7340
TX
2086S0102X
Surgical Critical Care Physician
3449
WV
2086S0102X
Surgical Critical Care Physician
Primary
U7340
TX
2086S0127X
Trauma Surgery Physician
1809
TN
2086S0127X
Trauma Surgery Physician
5101014615
MI

Other

Enumeration date
06/18/2006
Last updated
03/21/2024
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