Individual
MRS. JENNIFER LASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN APN
Contact information
Practice address
2209 HOWARD ST, EVANSTON, IL 60202-3636
(847) 733-1144
Mailing address
6461 N NEWLAND AVE, CHICAGO, IL 60631-1744
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209004323
IL
Other
Enumeration date
10/30/2010
Last updated
11/17/2015
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