Organization
LASKE FAMILY CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON P LASKE D.C. (OWNER/PRESIDENT)
(734) 283-2180
Entity
Organization
Contact information
Practice address
20720 EUREKA RD, TAYLOR, MI 48180-5313
(734) 283-2180
(734) 283-2188
Mailing address
20720 EUREKA RD, TAYLOR, MI 48180-5313
(734) 283-2180
(734) 283-2188
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008988
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437192093
IND. NPI#
MI
05
—
144948941
—
MI
01
—
2301008988
LICENSE#
MI
01
—
900072659
PRIORITY HEALTH
MI
01
—
950H242200
BLUE CROSS IND
MI
01
—
950H242880
BLUE CROSS GROUP
—
01
—
P00690884
UNITED HEALTHCARE
MI
01
—
V10353
HAP
MI
Enumeration date
01/09/2009
Last updated
09/22/2011
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