Individual
ELIZABETH J LAATSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
40 BEY LEA RD STE B203, TOMS RIVER, NJ 08753-2974
(732) 341-0720
Mailing address
121 WOODLAND LANE, REAR APT FLOOR 1, AVON-BY-THE-SEA, NJ 07717
(267) 222-2353
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00659600
NJ
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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