Kim L Lasecki, PHD - Psychologist in Green Bay, WI

Kim L Lasecki, PHD is a Psychologist - Clinical Child & Adolescent based in Green Bay, Wisconsin. Kim L Lasecki is licensed to practice in Wisconsin (license number 2448) and his current practice location is 301 E Saint Joseph St, Green Bay, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 433-6073.

NPI number for Kim L Lasecki is 1235114513 and his current mailing address is 301 E Saint Joseph St, Green Bay, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235114513.

Contact Information

Kim L Lasecki, PHD
301 E Saint Joseph St,
Green Bay, WI 54301-2241
(920) 433-6073
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKim L Lasecki
GenderMale
SpecialityPsychologist - Clinical Child & Adolescent
Location301 E Saint Joseph St, Green Bay, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235114513
  • Provider Enumeration Date: 12/09/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Kim L Lasecki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235114513NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent 2448 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kim L Lasecki is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kim L Lasecki, PHD
301 E Saint Joseph St,
Green Bay, WI 54301-2241

Ph: (920) 433-6073
Kim L Lasecki, PHD
301 E Saint Joseph St,
Green Bay, WI 54301-2241

Ph: (920) 433-6073

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