Individual
JACQUELINE LASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 BOSTON MEDICAL CENTER PLACE, C500, BOSTON, MA 02118
(617) 638-8605
Mailing address
801 ALBANY STREET, FL GROUND, BOSTON, MA 02119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
07/26/2021
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