Individual
SHIRA LASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1771 MADISON AVE, LAKEWOOD, NJ 08701-1242
(732) 364-2144
Mailing address
693 NOWLAN PL, LAKEWOOD, NJ 08701-2411
(917) 589-6574
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01252200
NJ
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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