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Nicole Lasak, RN
Administrator Registered Nurse in Waukegan, Illinois
NPI 1881112712

Nicole Lasak is an Administrator Registered Nurse based in Antioch, IL and is specialized in Administrator. Nicole Lasak practices in Waukegan, IL and has the professional credentials of RN. The NPI Number for Nicole Lasak is 1881112712 and holds a License No. 041404276 (Illinois).

The current practice location address for Nicole Lasak is 3002 Grand Ave, Waukegan, IL and can be reached out via phone at 847-377-8278.

Location: 3002 Grand Ave, Waukegan, IL, 60002-2726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881112712
Provider Name
Nicole Lasak
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
3002 Grand Ave, Waukegan, IL, 60002-2726
Phone Number
847-377-8278
Fax Number
Provider Enumeration Date
08/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3002 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-2321
Phone Number
847-377-8278
Fax Number
person
Provider Business Mailing Address Details
Address
3002 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-2321
Phone Number
847-377-8278
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Administrator
Taxonomy
163WA2000X
License No.
041404276 (Illinois)
Definition
Definition to come...
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