Provider Demographics
NPI:1194835009
Name:LASEWICZ, CAROLINE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:
Last Name:LASEWICZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HOLLAND WAY FL 1
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-2997
Mailing Address - Country:US
Mailing Address - Phone:603-778-0557
Mailing Address - Fax:603-778-1669
Practice Address - Street 1:3 ALUMNI DR STE 401
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2123
Practice Address - Country:US
Practice Address - Phone:603-778-0557
Practice Address - Fax:603-778-1669
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH045769-23363L00000X
NH045679-23367A00000X
NH045769-23-1176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30341068Medicaid
NH40Y002876NH01OtherANTHEM BC/BS
PO6144Medicare UPIN
NH30341068Medicaid
NH30341068Medicaid