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NPI Code Detail

MEDICARE: MELISSA ANN LASKOWSKI

MEDICARE: MELISSA ANN LASKOWSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1053106120
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ANN LASKOWSKI
Provider Business Mailing Address
First Line : 634 N MAIN ST STE 4
Second Line :
City : O FALLON
State : IL
Zip : 62269-3746
Country : US
Telephone Number : 618-726-5870
Fax Number :
Provider Business Practice Location Address
First Line : 411 EDWARDSVILLE RD
Second Line :
City : TROY
State : IL
Zip : 62294-1339
Country : US
Telephone Number : 314-275-0506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2025
Last Update Date : 03/25/2026

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Directions to “ MELISSA ANN LASKOWSKI ” Practice Location

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