Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ME83383 | FL |
N | 208600000X | Surgeon | ME83383 | FL |
Y | 2086S0120X | Pediatric Surgery | ME83383 | FL |
NPI | 1386811255 |
---|---|
Provider Name | David S Lasko |
First Address | Plantation, FL 33317-2384 |
Second Address | Plantation, FL 33317-2384 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2008 |
Last Update Date | 28/09/2011 |