| Doctor Name: | MISS BRANDY JEAN LASLEY |
| NPI Number: | 1114267135 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C APRN |
| License Number: | 3007929 |
| Business Practice Address: | 2135 Highway 30 Byp Ste 1 London, KY - 407416139 |
| Business Phone Number: | 6068642179 |
| Business Fax Number: | 6068647484 |
| Mailing Address: | Po Box 73652, CLEVELAND |
| State: | OH |
| Postal Code: | 441930002 |
| Phone Number: | 8593132758 |
| Fax Number: | 8592765939 |
| NPI Enumeration Date: | 02/28/2013 |
| NPI Last Update Date: | 07/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3007929 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |