| Doctor Name: | MRS. ELIZABETH MARY LASK |
| NPI Number: | 1700970449 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | NP7029 |
| Business Practice Address: | 9278 N Loop Blvd California City, CA - 935052236 |
| Business Phone Number: | 7603734809 |
| Business Fax Number: | 7603734800 |
| Mailing Address: | Po Box 1087, TEHACHAPI |
| State: | CA |
| Postal Code: | 935811087 |
| Phone Number: | 6618228113 |
| Fax Number: | |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP7029 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |