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Contact Information

MITCHELL A LASKI, MD
CENTRALIZED CREDENTIAL AND PRIVILEGING DIRECTORATE
554 KEILY STREET
JACKSONVILLE, FL32212
 Phone: 757-953-7550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MITCHELL A LASKI · (Male)

NPI # 1558894006
Status Active
Credentials MD
Entity Individual
Enumeration date 04/11/2017
Last updated 04/23/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101265128
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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