Mr Randy Wayne Lasut Jr, CRNP FNP-C | |
4186 Cortland Dr, New Paris, PA 15554-7706 | |
(814) 839-4108 | |
Not Available |
Full Name | Mr Randy Wayne Lasut Jr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 4186 Cortland Dr, New Paris, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063282994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP029010 (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Randy Wayne Lasut Jr, CRNP FNP-C 4186 Cortland Dr, New Paris, PA 15554-7706 Ph: (814) 839-4108 | Mr Randy Wayne Lasut Jr, CRNP FNP-C 4186 Cortland Dr, New Paris, PA 15554-7706 Ph: (814) 839-4108 |
Brittany Cogan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4186 Cortland Dr, New Paris, PA 15554 Phone: 814-839-4108 | |
Mrs. Christine Renee Brocious, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4186 Cortland Dr, New Paris, PA 15554 Phone: 814-839-4108 | |
Alaina Royanne Heeter, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4186 Cortland Dr, New Paris, PA 15554 Phone: 814-839-4108 |