Individual
MR. DOMINICK CARL ANTHONY LASORSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LADC
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2001
(775) 688-2004
Mailing address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2001
(775) 688-2004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
2255R0406X
Blind Rehabilitation Specialist/Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7753484894
HOME PHONE
NV
Enumeration date
10/19/2010
Last updated
01/14/2015
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