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Individual

JOHN DOMINIC LASKO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(570) 592-7740
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(570) 592-7740

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OT022769
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/21/2016
Last updated
11/14/2023
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