Provider Demographics
NPI:1780471359
Name:LASKEWITZ, ANGELA CHIRSTINE
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:CHIRSTINE
Last Name:LASKEWITZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75859 US HIGHWAY 218
Mailing Address - Street 2:
Mailing Address - City:BLOOMING PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55917-4901
Mailing Address - Country:US
Mailing Address - Phone:507-438-4927
Mailing Address - Fax:
Practice Address - Street 1:630 FREEPORT AVE NW
Practice Address - Street 2:SUITE 100
Practice Address - City:ELK RIVER
Practice Address - State:MN
Practice Address - Zip Code:55330
Practice Address - Country:US
Practice Address - Phone:863-441-3830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist