Individual
KELLY LYNN LASCAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9141 RIDGE RD, GIRARD, PA 16417-9645
(814) 774-8880
(814) 774-1169
Mailing address
283 HARBOR ST APT 3, CONNEAUT, OH 44030-1980
(941) 276-2330
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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