Provider Demographics
NPI:1306826912
Name:LASARSKY, NICOLE BELL (MS)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:BELL
Last Name:LASARSKY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 MOREHEAD MEDICAL ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-2839
Mailing Address - Country:US
Mailing Address - Phone:704-355-7916
Mailing Address - Fax:704-355-1844
Practice Address - Street 1:1025 MOREHEAD MEDICAL ST
Practice Address - Street 2:SUITE 500
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2839
Practice Address - Country:US
Practice Address - Phone:704-355-7916
Practice Address - Fax:704-355-1844
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS