Individual
JAMES CLARK LASEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C. PED
Contact information
Practice address
4781 E GETTYSBURG AVE STE 104, FRESNO, CA 93726-1814
(559) 270-4746
Mailing address
4781 E GETTYSBURG AVE STE 104, FRESNO, CA 93726-1814
(559) 270-4746
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
3987
CA
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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