Individual provider · Type 1 NPI

Clarissa Lauren Lasky

Student in an Organized Health Care Education/Training Program · Santa Rosa, CA

NPI number 1730791583 Active

Practice location

2447 Summerfield Rd
Santa Rosa, CA 95405-7815

Mailing address

431 Pacific Ave Apt 304
Alameda, CA 94501-7706

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730791583

Clarissa Lauren Lasky's National Provider Identifier is 1730791583, issued on Aug 21, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 21, 2020.