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Individual

JASON P LASKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
24640 TELEGRAPH RD, FLAT ROCK, MI 48134-9226
(734) 782-0200
(734) 789-7876
Mailing address
24640 TELEGRAPH RD, FLAT ROCK, MI 48134-9226
(734) 782-0200
(734) 789-7876

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008988
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1013467323
GROUP NPI
MI
01
1437192093
INDIVIDUAL NPI
MI
01
1679710800
GROUP NPI
MI
01
4948941
MEDICAID
MI
01
900072659
PRIORITY HEALTH
MI
01
950H242880
BLUE CROSS
MI
01
MI1337
GROUP MEDICARE PTAN
MI
01
MI1337001
INDIVIDUAL MEDICARE PTAN
MI
01
P00690884
UNITED HEALTH CARE
MI
01
V10353
HAP
MI
Enumeration date
06/13/2006
Last updated
02/02/2024
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