Loren S Lasater MD

NPI 1023098662 - Family Medicine - 207Q00000X

NPI Details
NPI 1023098662
Gender Male
Enumeration Date 01/19/2006
Last Updated 10/24/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1500 S MAIN ST
FORT WORTH TX, 76104-4917, US
Phone (817) 702-1200
Fax (817) 930-7206
Business Location
1500 S MAIN ST
FORT WORTH TX, 76104-4917, US
Phone (817) 702-1200
Fax (817) 930-7206
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number M3624
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According to our database, Loren S Lasater MD NPI is 1023098662, taxonomy code is 207Q00000X and license number is M3624, license state is located at Texas. Loren S Lasater MD physically located at 1500 S Main St, Fort Worth TX, 76104-4917. NPI Number Loren S Lasater MD has the Individual type.

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1023098662 NPI number is provided on an as is basis without warranty of any kind. 1023098662 is maintained by the National Plan & Provider Enumeration System. The contents of Loren S Lasater MD are for informational purposes only.