Healthcare Provider Details

I. General information

NPI: 1184686552
Provider Name (Legal Business Name): CHERYL ANN LASKOWSKI CNS APRN BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 11/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 UNION STREET FAIR BUILDING
NATICK MA
01760
US

IV. Provider business mailing address

11 SENATE RD #B
MILFORD MA
01757-1908
US

V. Phone/Fax

Practice location:
  • Phone: 508-650-7000
  • Fax:
Mailing address:
  • Phone: 802-999-4479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN2270122
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: