Individual
NICOLE ELIZABETH LASECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6367 PICKWICK DR, CANTON, MI 48187-3630
(734) 968-6785
Mailing address
6367 PICKWICK DR, CANTON, MI 48187-3630
(734) 968-6785
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
4704344192
MI
363LF0000X
Family Nurse Practitioner
Primary
4704344192
MI
Other
Enumeration date
01/11/2023
Last updated
03/20/2024
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