Provider Demographics
NPI:1649270026
Name:LACH-PASKO, ELZBIETA A (MD)
Entity type:Individual
Prefix:MRS
First Name:ELZBIETA
Middle Name:A
Last Name:LACH-PASKO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:ELZBIETA
Other - Middle Name:A
Other - Last Name:LACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:540 LITCHFIELD ST
Mailing Address - Street 2:CHARLOTTE HUNGERFORD HOSPITAL MSO
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790
Mailing Address - Country:US
Mailing Address - Phone:860-496-6340
Mailing Address - Fax:860-482-8627
Practice Address - Street 1:540 LITCHFIELD ST
Practice Address - Street 2:CHARLOTTE HUNGERFORD HOSPITAL MSO
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790
Practice Address - Country:US
Practice Address - Phone:860-496-6340
Practice Address - Fax:860-482-8627
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT039865207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTG73826Medicare UPIN