Lasege, Tamika Brandon

Lasege, Tamika Brandon is an individual health care provider with primary practice located at 2525 Chicago Ave , Minneapolis MN 55404-4518. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Lasege, Tamika Brandon can be contacted via phone (973) 573-3175.

Contact Information

Primary practice address
2525 Chicago Ave Minneapolis MN 55404-4518
Phone: (973) 573-3175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X N6449 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X IP871 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 40869 Kentucky

Profile Details

NPI number 1871638460
LBN Legal business name Lasege, Tamika Brandon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Feb 7th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871638460 NPPES
Kentucky MEDICAID 7100394280

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