MEDICARE: ISABEL LASKER

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1447061478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISABEL LASKER

Provider Business Mailing Address
First Line	:	5219 VIA DONTE
Second Line	:
City	:	MARINA DEL REY
State	:	CA
Zip	:	90292-7286
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1948 RIVERSIDE DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-3705
Country	:	US
Telephone Number	:	213-792-2480
Fax Number	:

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

Provider Enumeration Date	:	01/17/2025
Last Update Date	:	01/17/2025

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Directions to “ ISABEL LASKER ” Practice Location

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