DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK CHAIM LASOSKI, PA-C

Active

JACK CHAIM LASOSKI, PA-C is a Physician Assistant healthcare provider located in KEVIL, Kentucky. NPI 1730489311 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · KEVIL, KY

Registration Details

NPI Number
1730489311
Provider Type
Individual
Gender
Male
NPI Issued
Oct 28, 2010 (15.793591802168 yrs)
Last Updated
Oct 28, 2010
License
PA020 (KY)

Practice Information

Address
5600 HOBBS RD
KEVIL, KY, 420539685
Browse KY providers · Browse ZIP 42053
Phone
2704416266
Fax
2704416208
Primary Specialty
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.