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Mr. Edmund L Lasek JR.
Optician in Utica, New York
NPI 1013091347

Edmund L Lasek JR. is a Optician based in Utica, NY and is specialized in Optician. Edmund L Lasek JR. practices in Utica, NY. The NPI Number for Edmund L Lasek JR. is 1013091347 and holds a License No. 4665 (New York).

The current practice location address for Edmund L Lasek JR. is 228 Genesee St, Utica, NY and can be reached out via phone at 315-738-1754.

Location: 228 Genesee St, Utica, NY, 13502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013091347
Provider Name
Edmund L Lasek JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
228 Genesee St, Utica, NY, 13502
Phone Number
315-738-1754
Fax Number
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01486488 05 NY
institution
Provider Business Practice Location Address Details
Address
228 Genesee St
City
Utica
State
New York
Zip
13502
Phone Number
315-738-1754
Fax Number
person
Provider Business Mailing Address Details
Address
228 Genesee St
City
Utica
State
New York
Zip
13502
Phone Number
315-738-1754
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
4665 (New York)
Definition
Definition to come...
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