Lassere, Richard John
Lassere, Richard John is an individual health care provider with primary practice located at 353 N. 4Th 102 , Pocatello ID 83201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Lassere, Richard John can be contacted via phone (208) 478-7900.Contact Information
Primary practice address
353 N. 4Th 102
Pocatello ID 83201
Phone: (208) 478-7900
Fax: (208) 479-7901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 9651486-1205 | Utah |
Profile Details
| NPI number | 1376639948 |
|---|---|
| LBN Legal business name | Lassere, Richard John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Feb 9th, 2016 - about 9 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 | 1376639948 | NPPES |
| Idaho | MEDICAID | 003792800 | |
| Idaho | Other | 49726 |
Popular Providers
-
Yates, Clifton
133 Centre St , Orangeburg SC 29115-6043 -
Becherl, Rohini Ruth
80 Seymour Street Hartford Hospital Geriatrics Program, Hartford CT 06102-5037 -
Dmytriw, Kevin Richard
524 Southpark Boulevard Jencare Neighborhood Medical South Park, Llc, Colonial Heights VA 23834 -
Dupre, Ernest Steve
2229 Mary Sherman Dr , Sullivan IN 47882-7633 -
Reaves, Lori A
640 North White Horse Pike , Hammonton NJ 08037 -
Steier, Paul J
1 Serenity Ln , Coburg OR 97408-9350 -
Barry, James H
78 Remick Blvd , Springboro OH 45066-9168 -
Elgert, Stephen D.
15 Constitution Dr Elliot Family Medicine At Bedford Village, Bedford NH 03110-6042