Lasater, John David
Lasater, John David is an individual health care provider with primary practice located at 4000 Coliseum Dr Ste 300, Hampton VA 23666-5906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lasater, John David can be contacted via phone (757) 452-3441.Contact Information
Primary practice address
4000 Coliseum Dr Ste 300
Hampton VA 23666-5906
Phone: (757) 452-3441
Fax: (757) 224-1799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 31041 | North Carolina |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 0101040054 | Virginia |
Profile Details
| NPI number | 1083659007 |
|---|---|
| LBN Legal business name | Lasater, John David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Nov 27th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083659007 | NPPES |
| North Carolina | Other | 02298 | BCBS |
| North Carolina | MEDICAID | 8902298 | BCBS |
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