Provider Demographics
NPI:1699731174
Name:LASKOWSKI, JOHN G
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:G
Last Name:LASKOWSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 N 5TH ST
Mailing Address - Street 2:STE C
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-4155
Mailing Address - Country:US
Mailing Address - Phone:402-644-1116
Mailing Address - Fax:
Practice Address - Street 1:208 N 5TH ST STE C
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4155
Practice Address - Country:US
Practice Address - Phone:402-644-1116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE604103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE08283OtherBC/BS
NE242463OtherMIDLANDS CHOICE
NE153885000OtherMAGELLAN
NE39189435426Medicaid
NE39189435426Medicaid