Provider Demographics
NPI:1013923374
Name:LASKOSKI, CHESTER ALBERT (DPM)
Entity Type:Individual
Prefix:DR
First Name:CHESTER
Middle Name:ALBERT
Last Name:LASKOSKI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:DR
Other - First Name:CHESTER
Other - Middle Name:ALBERT
Other - Last Name:LASKOSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:430 W MAIN ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:NEW HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17557-1144
Mailing Address - Country:US
Mailing Address - Phone:717-354-6100
Mailing Address - Fax:717-354-2902
Practice Address - Street 1:430 W MAIN ST
Practice Address - Street 2:SUITE 3
Practice Address - City:NEW HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:17557-1144
Practice Address - Country:US
Practice Address - Phone:717-354-6100
Practice Address - Fax:717-354-2902
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001953L213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000016985OtherHIGHMARK BLUE SHEILD
PW18165253OtherWAUSAU PHC
PA480030321OtherRAILROAD MEDICARE
PA01378401OtherCAP. BLUECROSS PPO
PA016-985OtherBC/BS/ PPO
PW28247OtherHEALTH AMERICA
PA0016985OtherKEYSTINE HEALTHPLAB CENTR
PA00387960000OtherKEYSTONE HEALTHPLAN EAST
PA0481810001OtherD.M.E.
PA334763OtherHEALTH AMERICA/HEALTH ASS
RI232073370OtherAMERI-HEALTH
PA00387960000OtherKEYSTONE HEALTHPLAN EAST
PA480030321OtherRAILROAD MEDICARE