Individual
JOSHUA LASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPPS
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 871-1559
Mailing address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 871-1559
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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