Provider Demographics
NPI:1184686552
Name:LASKOWSKI, CHERYL ANN (CNS APRN BC)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:ANN
Last Name:LASKOWSKI
Suffix:
Gender:F
Credentials:CNS APRN BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 SENATE RD
Mailing Address - Street 2:#B
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-1908
Mailing Address - Country:US
Mailing Address - Phone:802-999-4479
Mailing Address - Fax:
Practice Address - Street 1:67 UNION STREET
Practice Address - Street 2:FAIR BUILDING
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760
Practice Address - Country:US
Practice Address - Phone:508-650-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2270122364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q15846Medicare UPIN
VTNS2035Medicare ID - Type Unspecified