Provider Demographics
NPI:1285886499
Name:LASKO, SHIELA RAE (RN)
Entity type:Individual
Prefix:
First Name:SHIELA
Middle Name:RAE
Last Name:LASKO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58728 SALEM RD
Mailing Address - Street 2:
Mailing Address - City:SALESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43778-9528
Mailing Address - Country:US
Mailing Address - Phone:740-260-3356
Mailing Address - Fax:740-685-6539
Practice Address - Street 1:58728 SALEM RD
Practice Address - Street 2:
Practice Address - City:SALESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43778-9528
Practice Address - Country:US
Practice Address - Phone:740-260-3356
Practice Address - Fax:740-685-6539
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN274089163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse