Individual
HEATHER ELAINE LASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4 LAWRENCE ST, NANTICOKE, PA 18634-2602
(404) 825-5369
Mailing address
4 LAWRENCE ST, NANTICOKE, PA 18634-2602
(404) 825-5369
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD005300
GA
Other
Enumeration date
04/06/2019
Last updated
01/17/2023
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