Individual
MANDY L LASINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1414 9TH AVE, ALTOONA, PA 16602-2415
(814) 946-1655
Mailing address
1414 9TH AVE, ALTOONA, PA 16602-2415
(814) 946-1655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP026075
PA
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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