person
Mr. Randy Wayne Lasut JR., CRNPFNP-C
Family Nurse Practitioner in New Paris, Pennsylvania
NPI 1063282994

Randy Wayne Lasut JR. is a Family Nurse Practitioner based in New Paris, PA and is specialized in Family. Randy Wayne Lasut JR. practices in New Paris, PA and has the professional credentials of CRNPFNP-C. The NPI Number for Randy Wayne Lasut JR. is 1063282994 and holds a License No. SP029010 (Pennsylvania).

The current practice location address for Randy Wayne Lasut JR. is 4186 Cortland Dr, New Paris, PA and can be reached out via phone at 814-839-4108.

Location: 4186 Cortland Dr, New Paris, PA, 15554-7706
person
Provider Profile Details
NPI Number
1063282994
Provider Name
Randy Wayne Lasut JR.
Credential
CRNPFNP-C
Provider Entity Type
Individual
Gender
Male
Address
4186 Cortland Dr, New Paris, PA, 15554-7706
Phone Number
814-839-4108
Fax Number
Provider Enumeration Date
01/02/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4186 Cortland Dr
City
State
Zip
15554-7706
Phone Number
814-839-4108
Fax Number
person
Provider Business Mailing Address Details
Address
4186 Cortland Dr
City
State
Zip
15554-7706
Phone Number
814-839-4108
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
SP029010 (Pennsylvania)
Definition
Definition to come...
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