Provider Demographics
NPI:1568195246
Name:LASLEY, ANDREW EVERETT (PA-C)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:EVERETT
Last Name:LASLEY
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:401 E 34TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-3754
Mailing Address - Country:US
Mailing Address - Phone:317-926-1507
Mailing Address - Fax:317-926-1508
Practice Address - Street 1:401 E 34TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-3754
Practice Address - Country:US
Practice Address - Phone:317-926-1507
Practice Address - Fax:317-926-1508
Is Sole Proprietor?:No
Enumeration Date:2022-07-08
Last Update Date:2023-06-02
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant