Individual
DR. JEFFREY I LASKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, DEPT. OF PEDIATRICS, BOSTON, MA 02111-1552
(617) 636-5241
Mailing address
22 NARDELL RD, NEWTON, MA 02459-2820
(617) 332-3603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39986
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2069601
—
MA
Enumeration date
12/06/2005
Last updated
12/06/2011
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