Individual
NICK ELAN LASANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6344 E BROWN RD STE 104, MESA, AZ 85205-4843
(480) 269-0765
Mailing address
15555 N FRANK LLOYD WRIGHT BLVD, SCOTTSDALE, AZ 85260-2023
(469) 247-8031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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