Individual
MICHELLE RENAE LASKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
87491 512 AVE, ORCHARD, NE 68764-6406
(605) 351-0209
Mailing address
87491 512 AVE, ORCHARD, NE 68764-6406
(605) 351-0209
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R024948
SD
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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