Individual provider · Type 1 NPI

Randy Wayne Lasut Jr., CRNP FNP-C

Family Nurse Practitioner · New Paris, PA

NPI number 1063282994 Active

Practice location

4186 Cortland Dr
New Paris, PA 15554-7706

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP029010 (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1063282994

Randy Wayne Lasut Jr., CRNP FNP-C's National Provider Identifier is 1063282994, issued on Jan 2, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Paris, PA. The record was last updated on Jul 30, 2024.