NPI 1679150759

James Clark Lasek, CPED

Practitioner Pedorthist Fresno, CA

Practice location

Address: 4781 E Gettysburg Ave STE 104, Fresno, CA 93726-1814
Phone: (559) 270-4746

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence 3987 (CA)

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Registry record

NPI: 1679150759
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Mar 2021
Record last updated: 25 Mar 2021

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.