Provider Demographics
NPI:1659410959
Name:LASKOWSKI, MARY REGINA (DC)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:REGINA
Last Name:LASKOWSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2717 MARNE HWY
Mailing Address - Street 2:
Mailing Address - City:HAINESPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:08036-2892
Mailing Address - Country:US
Mailing Address - Phone:609-267-5550
Mailing Address - Fax:609-267-3535
Practice Address - Street 1:2717 MARNE HWY
Practice Address - Street 2:
Practice Address - City:HAINESPORT
Practice Address - State:NJ
Practice Address - Zip Code:08036-2892
Practice Address - Country:US
Practice Address - Phone:609-267-5550
Practice Address - Fax:609-267-3535
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC003648111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor