Lasecki, Terra Dove

Lasecki, Terra Dove is an individual health care provider with primary practice located at 1305 Cumberland Ave Ste 225 , West Lafayette IN 47906-1343. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Lasecki, Terra Dove can be contacted via phone (812) 841-7130.

Contact Information

Primary practice address
1305 Cumberland Ave Ste 225 West Lafayette IN 47906-1343
Phone: (812) 841-7130
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1649392069
LBN Legal business name Lasecki, Terra Dove
Credentials DEVELOPMENTAL THERAP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2007
Last updated Jul 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649392069 NPPES
Indiana MEDICAID 200732240
Indiana Other 200732240

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