Female

Courtney M. Laczko PA-C

Medical Physician Assistant in Hollywood, FL(View on Map)

Full Name

Courtney Marie Laczko PA-C

NPI Number

1891383329

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/10/2021

Specialties

(Taxonomies)

Code

363AM0700X
363A00000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

3501 JOHNSON ST
3501 JOHNSON ST

City

Hollywood
Hollywood

State

FL
FL

Postal Code

33021-5421
33021-5421

Country

US
US

Telephone Number

(954) 265-2243
(954) 265-2243

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/07/2023

Provider Address

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