| Doctor Name: | SHERI JOYCE LASK |
| NPI Number: | 1063467934 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 085001382 |
| Business Practice Address: | 688 Cedar Crossings Dr New Lenox, IL - 604515200 |
| Business Phone Number: | 8157273030 |
| Business Fax Number: | 8154638268 |
| Mailing Address: | 7600 W College Dr, PALOS HEIGHTS |
| State: | IL |
| Postal Code: | 604631001 |
| Phone Number: | 7083610600 |
| Fax Number: | 7083618710 |
| NPI Enumeration Date: | 05/22/2006 |
| NPI Last Update Date: | 01/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 085001382 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |