Active NPI
Lynne Lasecki
- Pharmacist
- Redondo Beach, CA
National Provider Identifier
1629355763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55366
- Practice address
- 535 S PCH Hwy
Redondo Beach, CA 90277-4220 - Phone
- (310) 517-1851
- NPI assigned
- Nov 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 55366 | CA | Primary |
Addresses
Primary practice location
535 S PCH Hwy
Redondo Beach, CA 90277-4220
Mailing address
535 S PCH Hwy
Redondo Beach, CA 90277-4220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55366 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1629355763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 S PCH HWY",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902774220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 S PCH HWY",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902774220",
"telephone_number": "310-517-1851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASECKI",
"first_name": "LYNNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-03",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "55366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.