Lasam, Glenmore

Lasam, Glenmore is an individual health care provider with primary practice located at 1148 Norman Dr Ste 3 , Manteca CA 95336-5961. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Lasam, Glenmore can be contacted via phone (209) 824-1555.

Contact Information

Primary practice address
1148 Norman Dr Ste 3 Manteca CA 95336-5961
Phone: (209) 824-1555
Fax: (209) 464-2684
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA10197800 New Jersey
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A171671 California

Profile Details

NPI number 1093133027
LBN Legal business name Lasam, Glenmore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2014
Last updated Jul 19th, 2022 - about 2 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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