Individual
DR. MITCHELL ALEXANDER LASKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CENTRALIZED CREDENTIAL AND PRIVILEGING DIRECTORATE, 554 KEILY STREET, JACKSONVILLE, FL 32212
(757) 953-7550
Mailing address
109 W 27TH ST RM 5S, NEW YORK, NY 10001-6208
(833) 351-8255
(888) 815-3583
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101265128
VA
Other
Enumeration date
04/11/2017
Last updated
04/23/2025
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