Individual
DR. THERESA K LASKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 636-6200
Mailing address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 636-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00031979
WA
207R00000X
Internal Medicine Physician
MD14878
OR
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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