NPI 1003188814

Jodi Lasky, PAC

Practitioner Physician Assistant Waterbury, CT

Practice location

Address: 26 Westport Dr, Waterbury, CT 06706-2854
Phone: (203) 565-4728

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 001139 (CT)

Other Physician Assistant providers in Connecticut →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 001139 (CT)

Registry record

NPI: 1003188814
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Feb 2012
Record last updated: 31 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.