Organization
MILTON C. LASOSKI, PH.D, LLC
Active
Organization
MILTON C. LASOSKI, PH.D, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILTON C. LASOSKI PH.D. (REGISTERED AGENT)
(505) 266-3070
Entity
Organization
Contact information
Practice address
4253 MONTGOMERY BLVD NE, SUITE 220, ALBUQUERQUE, NM 87109-1106
(505) 342-0400
Mailing address
4253 MONTGOMERY BLVD NE, STE 220, ALBUQUERQUE, NM 87109-1106
(505) 266-3070
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
364
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311220
PTAN
NM
Enumeration date
10/24/2014
Last updated
05/17/2016
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