Provider Demographics
NPI:1679164180
Name:ASKER, LAISA M
Entity Type:Individual
Prefix:
First Name:LAISA
Middle Name:M
Last Name:ASKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8125 S LEGOLAS PL
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709-7388
Mailing Address - Country:US
Mailing Address - Phone:208-859-8340
Mailing Address - Fax:
Practice Address - Street 1:8125 S LEGOLAS PL
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83709-7388
Practice Address - Country:US
Practice Address - Phone:208-859-8340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-27
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker