National Provider Identifier

Jennifer Lasly

Jennifer Lasly is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Clarence, NY and a listed phone number of (716) 912-5334.

NPI 1063835353Clarence, NYCase Manager/Care Coordinator

Profile Overview

NPI
1063835353
Provider Type
Individual
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
January 23, 2014
Last Updated
January 23, 2014

Practice Location

  • 4485 Ransom RD
  • Clarence, NY 14031-2157

Phone: (716) 912-5334

Specialties

  • Case Manager/Care Coordinator (171M00000X)
Full Record
NPI
1063835353
Entity Type
Individual
Last Name
Lasly
First Name
Jennifer
Mailing Street Address
4485 Ransom RD
Mailing City
Clarence
Mailing State
NY
Mailing ZIP Code
14031-2157
Mailing Country
US
Practice Street Address
4485 Ransom RD
Practice City
Clarence
Practice State
NY
Practice ZIP Code
14031-2157
Practice Country
US
Practice Phone
(716) 912-5334
Enumeration Date
January 23, 2014
Last Updated
January 23, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Case Manager/Care Coordinator (171M00000X)