National Provider Identifier
Melissa Lasly
Melissa Lasly is listed in the NPPES registry with a primary specialty of Electroneurodiagnostic Specialist/Technologist in Lackawanna, NY and a listed phone number of (716) 240-8000.
Profile Overview
- NPI
- 1902592256
- Provider Type
- Individual
- Primary Specialty
- Electroneurodiagnostic Specialist/Technologist
- Enumeration Date
- April 11, 2023
- Last Updated
- April 11, 2023
Practice Location
- 609 Ridge RD
- Lackawanna, NY 14218-1411
Phone: (716) 240-8000
Specialties
- Electroneurodiagnostic Specialist/Technologist (246ZE0600X)
Full Record
- NPI
- 1902592256
- Entity Type
- Individual
- Last Name
- Lasly
- First Name
- Melissa
- Mailing Street Address
- 609 Ridge RD
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-1411
- Mailing Country
- US
- Mailing Phone
- (716) 240-8000
- Mailing Fax
- (716) 240-5293
- Practice Street Address
- 609 Ridge RD
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1411
- Practice Country
- US
- Practice Phone
- (716) 240-8000
- Practice Fax
- (716) 240-5293
- Enumeration Date
- April 11, 2023
- Last Updated
- April 11, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 11, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Electroneurodiagnostic Specialist/Technologist (246ZE0600X)