Individual
ELIZABETH LASRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 DARE RD, YORKTOWN, VA 23692-2716
(757) 867-5358
Mailing address
302 DARE RD, YORKTOWN, VA 23692-2716
(757) 867-5358
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0803000058
VA
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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