National Provider Identifier
Jordan Kail Lasky, PA
Jordan Kail Lasky, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Lockport, NY and a listed phone number of (716) 795-0077.
Profile Overview
- NPI
- 1780932822
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- August 21, 2012
- Last Updated
- July 21, 2022
Practice Location
- 6000 Brockton Dr Ste 101
- Lockport, NY 14094-9273
Phone: (716) 795-0077
Mailing Address
- 3719 Union RD Ste 218
- Cheektowaga, NY 14225-4251
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1780932822
- Entity Type
- Individual
- Last Name
- Lasky
- First Name
- Jordan
- Middle Name
- Kail
- Credential
- PA
- Provider Other Last Name
- Christie
- Provider Other First Name
- Jordan
- Provider Other Middle Name
- Kail
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3719 Union RD Ste 218
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-4251
- Mailing Country
- US
- Mailing Phone
- (716) 206-1555
- Practice Street Address
- 6000 Brockton Dr Ste 101
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-9273
- Practice Country
- US
- Practice Phone
- (716) 795-0077
- Practice Fax
- (716) 795-0088
- Enumeration Date
- August 21, 2012
- Last Updated
- July 21, 2022
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)