Lasita, Jaclyn

Lasita, Jaclyn is an individual health care provider with primary practice located at 263 Blue Point Ave , Blue Point NY 11715-1224. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Lasita, Jaclyn can be contacted via phone (631) 419-6737.

Contact Information

Primary practice address
263 Blue Point Ave Blue Point NY 11715-1224
Phone: (631) 419-6737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 745257 New York
Nursing Service Providers / Pediatrics 163WP0200X 745257 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F383584 New York

Profile Details

NPI number 1235790577
LBN Legal business name Lasita, Jaclyn
Credentials RN, PNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2019
Last updated Aug 21st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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