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NPI Code Detail

MEDICARE: MRS. BARBARA SUZANNE LASKY PTA

MEDICARE: MRS. BARBARA SUZANNE LASKY PTA
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
1314000000XSkilled Nursing Facility3339MA

General Provider Information

NPI Number : 1285841122
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BARBARA SUZANNE LASKY PTA
Provider Business Mailing Address
First Line : 553A EAST ST
Second Line :
City : WALPOLE
State : MA
Zip : 02081-3624
Country : US
Telephone Number : 508-668-0149
Fax Number :
Provider Business Practice Location Address
First Line : 589 HIGHLAND AVE
Second Line :
City : NEEDHAM
State : MA
Zip : 02494-2205
Country : US
Telephone Number : 781-455-9090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 07/08/2007

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