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Individual

MS. MICHELLE LASKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
103 18TH AVE, ELMWOOD PARK, NJ 07407-3409
(201) 727-9330
(201) 425-4527
Mailing address
103 18TH AVE, ELMWOOD PARK, NJ 07407-3409
(201) 727-9330
(201) 425-4527

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
26N011515900
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00708100
NJ

Other

Enumeration date
05/11/2011
Last updated
01/18/2022
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