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1285103002
AMY LASK
ROCKFORD, IL
NPI
1285103002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209018464)
Enumeration Date
2018-11-21
Last Update Date
2024-06-11
Business Address
AMY LASK DNP, FNP-BC
3505 N BELL SCHOOL RD
ROCKFORD, IL 61114-6624
Phone number: 779-696-0300
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Mailing Address
AMY LASK DNP, FNP-BC
PO BOX 78866
MILWAUKEE, WI 53278-8866
Phone number: 779-696-7150
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