Provider Demographics
NPI:1922383470
Name:LASKER, LAUREN SLOANE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:SLOANE
Last Name:LASKER
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:3400 CIVIC CENTER BLVD
Mailing Address - Street 2:PENN PERELMAN 7 SOUTH PAVILION, DIV OF GI/HEPATOLOGY
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-5127
Mailing Address - Country:US
Mailing Address - Phone:215-349-8222
Mailing Address - Fax:215-349-5915
Practice Address - Street 1:3400 CIVIC CENTER BLVD
Practice Address - Street 2:PENN PERELMAN 7 SOUTH PAVILION, DIV OF GI/HEPATOLOGY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5127
Practice Address - Country:US
Practice Address - Phone:215-349-8222
Practice Address - Fax:215-349-5915
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2021-05-19
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Provider Licenses
StateLicense IDTaxonomies
PAMA059792363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant