Provider Demographics
NPI:1124396957
Name:LASCUNA, PAUL JON (FNP-BC)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:JON
Last Name:LASCUNA
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 NORTHPARK DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1672
Mailing Address - Country:US
Mailing Address - Phone:281-310-8445
Mailing Address - Fax:
Practice Address - Street 1:300 NORTHPARK DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-1672
Practice Address - Country:US
Practice Address - Phone:281-310-8445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11006780207Q00000X
GARN204643363LF0000X
FL11006780363LF0000X
TXAP121268363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine