Lasky, Robert G
Lasky, Robert G is an sole proprietor health care provider with primary practice located at 639 Granite St Suite Ll15, Braintree MA 02184-5366. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lasky, Robert G can be contacted via phone (781) 248-8357.Contact Information
Primary practice address
639 Granite St Suite Ll15
Braintree MA 02184-5366
Phone: (781) 248-8357
Fax: (781) 659-2419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 777 | Massachusetts |
Profile Details
| NPI number | 1093751208 |
|---|---|
| LBN Legal business name | Lasky, Robert G |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093751208 | NPPES |
| Massachusetts | MEDICAID | 0502057 |
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