MEDICARE: JAMES C LASKER M.D.

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
1	207RH0003X	Hematology & Oncology Physician	20063	AL
2	207R00000X	Internal Medicine Physician	ME62280	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1215956289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES C LASKER M.D.

Provider Business Mailing Address
First Line	:	3555 10TH CT STE 200B
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5013
Country	:	US
Telephone Number	:	772-563-4673
Fax Number	:

Provider Business Practice Location Address
First Line	:	3555 10TH CT # 200B
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5013
Country	:	US
Telephone Number	:	772-563-4673
Fax Number	:	772-770-6821

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	03/06/2023

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Directions to “ JAMES C LASKER M.D.” Practice Location

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