Doctor Name: | DR. THOMAS ANTON LASKO |
NPI Number: | 1063473668 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, PHD |
License Number: | CFE53160 |
Business Practice Address: | 2525 West End Ave Ste 600 Nashville, TN - 372031774 |
Business Phone Number: | 6159365372 |
Business Fax Number: | |
Mailing Address: | 2525 West End Ave, Ste 600 NASHVILLE |
State: | TN |
Postal Code: | 372031774 |
Phone Number: | 6159365372 |
Fax Number: | |
NPI Enumeration Date: | 03/31/2006 |
NPI Last Update Date: | 08/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | CFE53160 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |