Basic Information
| Provider Information | |||||||||
| NPI: | 1619547718 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LACORTE | ||||||||
| FirstName: | JOY | ||||||||
| MiddleName: | BARISO | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | CRNA, DNAP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 510 CRANES WAY APT 201 | ||||||||
| Address2: | |||||||||
| City: | ALTAMONTE SPRINGS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 327017752 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4233265031 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3300 PROVIDENCE DR STE 207 | ||||||||
| Address2: | |||||||||
| City: | ANCHORAGE | ||||||||
| State: | AK | ||||||||
| PostalCode: | 995084620 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9075610005 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2021 | ||||||||
| LastUpdateDate: | 08/02/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | 179229 | AK | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.