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NPI Code Detail

MEDICARE: DR. JOSEPH L LASKY III MD

MEDICARE: DR. JOSEPH L LASKY III MD
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
12080P0207XPediatric Hematology & Oncology PhysicianA82345CA
22080P0207XPediatric Hematology & Oncology Physician17125NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386680718
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH L LASKY III MD
Provider Business Mailing Address
First Line : 10170 W TROPICANA AVE # 156-252
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-8465
Country : US
Telephone Number : 702-732-1493
Fax Number : 702-732-1080
Provider Business Practice Location Address
First Line : 1 BREAKTHROUGH WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-3011
Country : US
Telephone Number : 702-732-1493
Fax Number : 702-732-1080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 10/19/2020

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Directions to “ DR. JOSEPH L LASKY III MD” Practice Location

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