Individual
JILLIAN MARI LASLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAS, PA-C
Contact information
Practice address
10 MEDICAL PARK, SUITE 104, WHEELING, WV 26003
(304) 242-4800
(304) 242-3580
Mailing address
10 MEDICAL PARK, SUITE 104, WHEELING, WV 26003
(304) 242-4800
(304) 242-3580
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2193
WV
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0333130
—
WV
Enumeration date
06/28/2018
Last updated
03/02/2026
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