Individual
LESLIE-ANN C LASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1629 UNION AVE STE 4, NATRONA HEIGHTS, PA 15065-2134
(724) 671-1161
(724) 671-1170
Mailing address
1629 UNION AVE STE 4, NATRONA HEIGHTS, PA 15065-2134
(724) 671-1161
(724) 671-1170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA052545
PA
363A00000X
Physician Assistant
Primary
OA002701
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103182779
—
PA
01
—
11692426
CAQH
—
Enumeration date
08/29/2006
Last updated
10/06/2020
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