Individual
MRS. ANNE MARIE LASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
555 SUSQUEHANNA ST, NORTHUMBERLAND, PA 17857-9662
(570) 490-3966
Mailing address
555 SUSQUEHANNA ST, NORTHUMBERLAND, PA 17857-9662
(570) 490-3966
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN206135L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
574784
LICENSE
CA
01
—
RN206135L
LICENSE
PA
Enumeration date
03/28/2007
Last updated
07/08/2007
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