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Individual

NICOLE RENEE LASICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5308 HARROUN RD STE 280, SYLVANIA, OH 43560-2190
(567) 585-2080
Mailing address
5300 HARROUN RD STE 280, SYLVANIA, OH 43560-2146

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009453RX
OH

Other

Enumeration date
09/04/2024
Last updated
06/12/2025
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